NPIMap

Organization Active NPI

Amity Drug & Sundry

  • Durable Medical Equipment & Medical Supplies
  • Amity, AR
National Provider Identifier
1861443558
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
AR20525 Issued in AR
Legal business name
AMITY DRUG & SUNDRY
Practice address
109 W Thompson St
Amity, AR 71921-9135
Phone
(870) 342-5080
Fax
(870) 342-5002
NPI assigned
May 15, 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
Mrs. Deanna Luekenga
Title
Pharmacist
Phone
(870) 342-5080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X AR20525 AR Primary

Addresses

Primary practice location

109 W Thompson St
Amity, AR 71921-9135

Mailing address

PO Box 156
Amity, AR 71921-0156
Phone (870) 342-5080

Other identifiers 1

IdentifierTypeStateIssuer
0422369OtherARNCPDP

National Provider Directory

National Provider Directory
Tax ID family
Amity Drug and Sundry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861443558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 156",
            "city": "AMITY",
            "state": "AR",
            "postal_code": "719210156",
            "telephone_number": "870-342-5080",
            "fax_number": "870-342-5002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 W THOMPSON ST",
            "city": "AMITY",
            "state": "AR",
            "postal_code": "719219135",
            "telephone_number": "870-342-5080",
            "fax_number": "870-342-5002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMITY DRUG & SUNDRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LUEKENGA",
        "authorized_official_first_name": "DEANNA",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "870-342-5080",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AR",
            "license": "AR20525",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "0422369",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amity, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.