City Drug and Soda Fountain

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

CITY DRUG AND SODA FOUNTAIN

Practice address

121 W S West Street
Mount Ida, AR 71957

Phone

(870) 867-3310

Fax

(870) 867-4848

NPI assigned

Oct 2, 2006

Organization subpart

No

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

Authorized official

Name

Michael Hobson

Title

VP

Phone

(870) 867-3310

Specialties & licenses 3

Addresses

Other identifiers 1

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1861585002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 865",
            "city": "MOUNT IDA",
            "state": "AR",
            "postal_code": "719570865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 W S WEST STREET",
            "city": "MOUNT IDA",
            "state": "AR",
            "postal_code": "71957",
            "telephone_number": "870-867-3310",
            "fax_number": "870-867-4848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY DRUG AND SODA FOUNTAIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "HOBSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "870-867-3310"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "AR",
            "license": "AR18598",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "0418598",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Dawn Ashford
• Jimmy L Barrow, D.O.
• Lauren Alexandra Carroll, PHARM. D
• Eric E Carson, D.C.
• CHI St. Vincent Medical Group Hot Springs
• Cynthia Jean Crowson, LCSW
• D Michael Deruyter D D S Inc
• Ronnie Lee Faulkner, DDS
• Lori D Fortner, APRN
• Heather N Funderburk, APRN

• All providers in Mount Ida, AR
• Durable Medical Equipment & Medical Supplies in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.