NPIMap

Organization Active NPI

C & D Drug Store

  • Long Term Care Pharmacy
  • Russellville, AR
National Provider Identifier
1871335273
Registry record updated Jun 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
C & D DRUG STORE
Practice address
121 N Commerce Ave
Russellville, AR 72801-3790
Phone
(479) 968-2456
Fax
(479) 968-7914
NPI assigned
Jun 7, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2024

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

Authorized official

Name
Roy Dean Walker, RPHNPI 1619564317
Title
President
Phone
(479) 968-2456

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
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

121 N Commerce Ave
Russellville, AR 72801-3790

Mailing address

121 N Commerce Ave
Russellville, AR 72801-3790
Phone (479) 968-2456

National Provider Directory

National Provider Directory
Tax ID family
C D Drug Store Inc2 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.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1717718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717718400000",
    "number": "1871335273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 N COMMERCE AVE",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728013790",
            "telephone_number": "479-968-2456",
            "fax_number": "479-968-7914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 N COMMERCE AVE",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728013790",
            "telephone_number": "479-968-2456",
            "fax_number": "479-968-7914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C & D DRUG STORE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-07",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "ROY",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "479-968-2456",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Russellville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2024; 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.