NPIMap

Organization Active NPI

Deans Pharmacies, Inc.

Doing business as Dean's Pharmacy

  • Community/Retail Pharmacy
  • De Witt, AR
National Provider Identifier
1811902091
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
AR17661 Issued in AR
Legal business name
DEANS PHARMACIES, INC.
Doing business as
Dean's Pharmacy
Practice address
1640 S Whitehead Dr
Dewitt, AR 72042-2994
Phone
(870) 946-2381
NPI assigned
Jul 29, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Howard Dean Watts, P.D.NPI 1033547948
Title
President/Pharmacist
Phone
(870) 946-2381

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X AR17661 AR Primary

Addresses

Primary practice location

1640 S Whitehead Dr
Dewitt, AR 72042-2994

Mailing address

1640 S Whitehead Dr
Dewitt, AR 72042-2994
Phone (870) 946-2381

Other names 1

  • Dean's Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20100930026409 AR DME Supplier - Pharmacy 9830217207 Practice locations: De Witt, AR
O20131230001206 AR Part B Supplier - Mass Immunization (Roster Biller Only) 9830217207 1 other NPI on this enrollment
Practice locations: De Witt, AR
O20201008000777 AR Part B Supplier - Independent Clinical Laboratory 9830217207 Practice locations: De Witt, AR

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Dean's Pharmacies Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811902091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1640 S WHITEHEAD DR",
            "city": "DEWITT",
            "state": "AR",
            "postal_code": "720422994",
            "telephone_number": "870-946-2381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 S WHITEHEAD DR",
            "city": "DEWITT",
            "state": "AR",
            "postal_code": "720422994",
            "telephone_number": "870-946-2381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEANS PHARMACIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WATTS",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "PRESIDENT/PHARMACIST",
        "authorized_official_telephone_number": "870-946-2381",
        "authorized_official_credential": "P.D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AR",
            "license": "AR17661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dean's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in De Witt, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.