Active NPI
Buice Drug Store
- Pharmacist
- Little Rock, AR
National Provider Identifier
1811031065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PD00083
- Legal business name
- BUICE DRUG STORE
- Practice address
- 3013 W Markham St
Little Rock, AR 72205-5853 - Phone
- (501) 663-4133
- Fax
- (501) 663-0270
- NPI assigned
- Feb 19, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- George Wimberly
- Title
- Pharmacist
- Phone
- (501) 663-4133
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PD00083 | AR | Primary |
Addresses
Primary practice location
3013 W Markham St
Little Rock, AR 72205-5853
Mailing address
3013 W Markham St
Little Rock, AR 72205-5853
Phone (501) 663-4133
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100022704 | Medicaid | AR |
National Provider Directory
National Provider DirectoryLocations
3013 W Markham St
Little Rock, AR 72205
Phone (501) 663-4133
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171843200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213747200000",
"number": "1811031065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3013 W MARKHAM ST",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722055853",
"telephone_number": "501-663-4133",
"fax_number": "501-663-0270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3013 W MARKHAM ST",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722055853",
"telephone_number": "501-663-4133",
"fax_number": "501-663-0270"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BUICE DRUG STORE",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-19",
"last_updated": "2008-06-18",
"status": "A",
"authorized_official_last_name": "WIMBERLY",
"authorized_official_first_name": "GEORGE",
"authorized_official_title_or_position": "PHARMACIST",
"authorized_official_telephone_number": "501-663-4133"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "AR",
"license": "PD00083",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100022704",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.