Organization Active NPI

Pill Peddler Pharmacy LLC

  • Community/Retail Pharmacy
  • Osceola, AR
National Provider Identifier
1831484146
Registry record updated Nov 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
AR20657 Issued in AR
Legal business name
PILL PEDDLER PHARMACY LLC
Doing business as
The Pill Peddler Pharmacy
Practice address
1740 S US Highway 61
Osceola, AR 72370-2943
Phone
(870) 563-0777
Fax
(870) 563-0327
NPI assigned
Jun 15, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2016

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

Authorized official

Name
Stephanie Rapert
Title
Pharmacist/Owner
Phone
(870) 838-0777

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X AR20657 AR Primary

Addresses

Primary practice location

1740 S US Highway 61
Osceola, AR 72370-2943

Mailing address

1740 S US Highway 61
Osceola, AR 72370-2943
Phone (870) 563-0777

Other identifiers 1

IdentifierTypeStateIssuer
2130814OtherPK

Other names 1

  • The Pill Peddler Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

1740 S US Highway 61
Osceola, AR 72370
Phone (870) 563-0777

NPI Registry JSON

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

{
    "created_epoch": "1308096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479859200000",
    "number": "1831484146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1740 S US HIGHWAY 61",
            "city": "OSCEOLA",
            "state": "AR",
            "postal_code": "723702943",
            "telephone_number": "870-563-0777",
            "fax_number": "870-563-0327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 S US HIGHWAY 61",
            "city": "OSCEOLA",
            "state": "AR",
            "postal_code": "723702943",
            "telephone_number": "870-563-0777",
            "fax_number": "870-563-0327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PILL PEDDLER PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-15",
        "last_updated": "2016-11-23",
        "status": "A",
        "authorized_official_last_name": "RAPERT",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "870-838-0777"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AR",
            "license": "AR20657",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2130814",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Pill Peddler Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Osceola, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.