Organization Active NPI

Professional Pharmacy Services Inc.

Doing business as Perry Drug

  • Pharmacist
  • Dermott, AR
National Provider Identifier
1861592701
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
AR20331 Issued in AR
Legal business name
PROFESSIONAL PHARMACY SERVICES INC.
Doing business as
Perry Drug
Practice address
103 S Freeman St
Dermott, AR 71638-2306
Phone
(870) 538-5216
Fax
(870) 538-5219
NPI assigned
Sep 22, 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
Mr. James Kelley, P.D.
Title
President
Phone
(870) 222-5071

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X AR20331 AR Primary

Addresses

Primary practice location

103 S Freeman St
Dermott, AR 71638-2306

Mailing address

PO Box 250
Dermott, AR 71638-0250
Phone (870) 538-5216

Other names 1

  • PERRY DRUG Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Perry Drug2 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.

Locations

103 S Freeman St
Dermott, AR 71638
Phone (870) 538-3272

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861592701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 250",
            "city": "DERMOTT",
            "state": "AR",
            "postal_code": "716380250",
            "telephone_number": "870-538-5216",
            "fax_number": "870-538-5219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 S FREEMAN ST",
            "city": "DERMOTT",
            "state": "AR",
            "postal_code": "716382306",
            "telephone_number": "870-538-5216",
            "fax_number": "870-538-5219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL PHARMACY SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KELLEY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "870-222-5071",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.D."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "AR",
            "license": "AR20331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PERRY DRUG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dermott, 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.