Drug Room Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

AR18714 Issued in AR

Legal business name

DRUG ROOM INC

Doing business as

Drug Room Inc

Practice address

1700 W 42ND Ave
Pine Bluff, AR 71603-7008

Phone

(870) 536-3980

Fax

(870) 536-1953

NPI assigned

Feb 27, 2007

Last updated

Aug 17, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David Stover, PD

Title

Pharm and Owner

Phone

(870) 536-3980

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• DRUG ROOM INC Doing business as

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

Practitioners 2

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.

• Brittany Butterfield, PHARMD

  • Pharmacist
  • Pine Bluff, AR
  • NPI 1255008819
  NPD
• Allison Steele

  • Pharmacist
  • Pine Bluff, AR
  • NPI 1255199592
  NPD (past)

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629158400000",
    "number": "1861528267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 W 42ND AVE",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716037008",
            "telephone_number": "870-536-3980",
            "fax_number": "870-536-1953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 W 42ND AVE",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716037008",
            "telephone_number": "870-536-3980",
            "fax_number": "870-536-1953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRUG ROOM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A",
        "authorized_official_last_name": "STOVER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PHARM AND OWNER",
        "authorized_official_telephone_number": "870-536-3980",
        "authorized_official_credential": "PD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AR",
            "license": "AR18714",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127289407",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1995507",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DRUG ROOM INC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DRUG ROOM INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dr. Penny's Eye Care Inc.
• Jonda L Drake, BS, MHPP
• Drew Toole, D.D.S., P. a.
• Drews Early Learning Inc
• Laura Elizabeth Drinkwater, MS, RD, LD
• Amber M Duch-Thomas, BS, MHPP
• Melanie A Dumas
• Timmie T Dunahue
• Kelten Dunlap, NRP
• Vikram Durairaj, M.D.

• Community/Retail Pharmacy in Pine Bluff, AR
• Providers in Pine Bluff, AR by specialty
• Community/Retail Pharmacy in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; 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.