Organization Active NPI

City Drug Co

  • Pharmacist
  • Paragould, AR
National Provider Identifier
1811983406
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
AR07014 Issued in AR
Legal business name
CITY DRUG CO
Practice address
1512 Linwood Dr
Paragould, AR 72450-5814
Phone
(870) 236-8501
Fax
(870) 239-5324
NPI assigned
Sep 20, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2025

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

Authorized official

Name
Mr. Jimmy Charles Dodd Jr.
Title
President Owner
Phone
(870) 236-8501

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X AR07014 AR Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

1512 Linwood Dr
Paragould, AR 72450-5814

Mailing address

1512 Linwood Dr
Paragould, AR 72450-5814
Phone (870) 236-8501

Other identifiers 3

IdentifierTypeStateIssuer
0407014OtherNCPDP
100212407MedicaidAR
607690500MedicaidMO

Medicare participation

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

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20110621000649 AR DME Supplier - Pharmacy 1355529330 Practice locations: Paragould, AR
O20220124001624 AR Part B Supplier - Independent Clinical Laboratory 1355529330 Practice locations: Paragould, AR
O20250508000228 AR Part B Supplier - Pharmacy 1355529330 Practice locations: Paragould, AR

National Provider Directory

National Provider Directory

Locations

1 Medical Dr
Ste 402
Paragould, AR 72450
Phone (870) 236-8501

NPI Registry JSON

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754524800000",
    "number": "1811983406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1512 LINWOOD DR",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724505814",
            "telephone_number": "870-236-8501",
            "fax_number": "870-239-5324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1512 LINWOOD DR",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724505814",
            "telephone_number": "870-236-8501",
            "fax_number": "870-239-5324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY DRUG CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-20",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A",
        "authorized_official_last_name": "DODD",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "870-236-8501",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "AR",
            "license": "AR07014",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "0407014",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100212407",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "607690500",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paragould, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2025; 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.