NPIMap

Organization Active NPI

Harris Drug and Gifts LLC

Doing business as Harris Drug

  • Community/Retail Pharmacy
  • De Queen, AR
National Provider Identifier
1881949063
Registry record updated Mar 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
AR12849 Issued in AR
Legal business name
HARRIS DRUG AND GIFTS LLC
Doing business as
Harris Drug
Practice address
205 W Dequeen Ave
De Queen, AR 71832-2809
Phone
(870) 584-3555
Fax
(870) 642-7259
NPI assigned
Jul 13, 2012
Last updated
Mar 28, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2017

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

Authorized official

Name
Renee LoganNPI 1083971428
Title
Owner
Phone
(870) 584-3555

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X AR12849 AR Primary

Addresses

Primary practice location

205 W Dequeen Ave
De Queen, AR 71832-2809

Mailing address

205 W Dequeen Ave
De Queen, AR 71832-2809
Phone (870) 584-3555

Other identifiers 2

IdentifierTypeStateIssuer
193169407MedicaidAR
2135684OtherPK

Other names 1

  • Harris Drug Doing business as

National Provider Directory

National Provider Directory

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": "1342137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490659200000",
    "number": "1881949063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 W DEQUEEN AVE",
            "city": "DE QUEEN",
            "state": "AR",
            "postal_code": "718322809",
            "telephone_number": "870-584-3555",
            "fax_number": "870-642-7259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 W DEQUEEN AVE",
            "city": "DE QUEEN",
            "state": "AR",
            "postal_code": "718322809",
            "telephone_number": "870-584-3555",
            "fax_number": "870-642-7259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRIS DRUG AND GIFTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-13",
        "last_updated": "2017-03-28",
        "status": "A",
        "authorized_official_last_name": "LOGAN",
        "authorized_official_first_name": "RENEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-584-3555"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AR",
            "license": "AR12849",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "193169407",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2135684",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harris Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in De Queen, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2017; 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.