NPIMap

Organization Active NPI

Davis Drug Store Inc

Doing business as Pillbox Pharmacy

  • Community/Retail Pharmacy
  • Highland, AR
National Provider Identifier
1871694513
Registry record updated Sep 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
AR20337 Issued in AR
Legal business name
DAVIS DRUG STORE INC
Doing business as
Pillbox Pharmacy
Practice address
1243 Highway 62 412
Highland, AR 72542-9469
Phone
(870) 856-3080
Fax
(870) 856-4165
NPI assigned
Sep 26, 2006
Last updated
Sep 23, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2019

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

Authorized official

Name
Andrea D Taylor, PHARM DNPI 1902956246
Title
Owner
Phone
(870) 856-3080

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X AR20337 AR
Community/Retail Pharmacy 3336C0003X AR20337 AR Primary
Long Term Care Pharmacy 3336L0003X AR20337 AR

Addresses

Primary practice location

1243 Highway 62 412
Highland, AR 72542-9469

Mailing address

PO Box 428
Ash Flat, AR 72513-0428
Phone (870) 856-3080

Other identifiers 1

IdentifierTypeStateIssuer
146773407MedicaidAR

Other names 1

  • Pillbox Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Davis Drug Store Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1645 Highway 62 412
Highland, AR 72542
Phone (870) 856-3080

Practitioners & affiliated clinicians

Practitioners 1

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": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569196800000",
    "number": "1871694513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 428",
            "city": "ASH FLAT",
            "state": "AR",
            "postal_code": "725130428",
            "telephone_number": "870-856-3080",
            "fax_number": "870-856-4165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1243 HIGHWAY 62 412",
            "city": "HIGHLAND",
            "state": "AR",
            "postal_code": "725429469",
            "telephone_number": "870-856-3080",
            "fax_number": "870-856-4165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIS DRUG STORE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2019-09-23",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-856-3080",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AR",
            "license": "AR20337",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AR",
            "license": "AR20337",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "AR",
            "license": "AR20337",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146773407",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pillbox Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pillbox Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Highland, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2019; 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.