NPIMap

Organization Active NPI

Canada, Inc.

Doing business as Meador Pharmacy

  • Community/Retail Pharmacy
  • Dumas, AR
National Provider Identifier
1861673915
Registry record updated Jul 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
CANADA, INC.
Doing business as
Meador Pharmacy
Practice address
101 W. Waterman St
Dumas, AR 71639-0185
Phone
(870) 382-4343
Fax
(870) 382-4343
NPI assigned
Nov 16, 2007
Last updated
Jul 15, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
CANADA, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 15, 2008

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

Authorized official

Name
Mr. William C. Canada Jr., REGISTERED PHARMACISNPI 1083608376
Title
Owner-Pharmacist
Phone
(870) 382-4343

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

101 W. Waterman St
Dumas, AR 71639-0185

Mailing address

PO Box 185
101 W. Waterman Street
Dumas, AR 71639-0185
Phone (870) 382-4343

Other identifiers 1

IdentifierTypeStateIssuer
127037407MedicaidAR

Other names 1

  • Meador Pharmacy Doing business as

National Provider Directory

National Provider Directory
Part of
Canada Inc

Locations

101 W Waterman St
Dumas, AR 71639
Phone (870) 382-4343

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1195171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216080000000",
    "number": "1861673915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 185",
            "address_2": "101 W. WATERMAN STREET",
            "city": "DUMAS",
            "state": "AR",
            "postal_code": "716390185",
            "telephone_number": "870-382-4343",
            "fax_number": "870-382-5692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W. WATERMAN ST",
            "city": "DUMAS",
            "state": "AR",
            "postal_code": "716390185",
            "telephone_number": "870-382-4343",
            "fax_number": "870-382-4343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANADA, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CANADA, INC.",
        "enumeration_date": "2007-11-16",
        "last_updated": "2008-07-15",
        "status": "A",
        "authorized_official_last_name": "CANADA",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER-PHARMACIST",
        "authorized_official_telephone_number": "870-382-4343",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "REGISTERED PHARMACIS"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127037407",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Meador Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dumas, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; 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.