Organization Active NPI

McKenney Pharmacy, LLC

Doing business as McKenney Pharmacy

  • Community/Retail Pharmacy
  • Piggott, AR
National Provider Identifier
1912540329
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
MCKENNEY PHARMACY, LLC
Doing business as
McKenney Pharmacy
Practice address
264 N 3Rd Ave
Piggott, AR 72454-2009
Phone
(870) 324-5310
NPI assigned
Oct 18, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

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

Authorized official

Name
Jennifer McKenneyNPI 1952610594
Title
Pic
Phone
(870) 324-5310

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 2

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

Addresses

Primary practice location

264 N 3Rd Ave
Piggott, AR 72454-2009

Mailing address

264 N 3Rd Ave
Piggott, AR 72454-2009
Phone (870) 324-5310

Other names 1

  • MCKENNEY PHARMACY Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL PIGGOTT Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20200128003097 AR Part B Supplier - Mass Immunization (Roster Biller Only) 5799111423 Practice locations: Piggott, AR
O20250428002820 AR DME Supplier - Medical Supply Company With Registered PharmacistDME Supplier - Pharmacy 5799111423 Practice locations: Piggott, AR

National Provider Directory

National Provider Directory

Locations

264 N 3rd Ave
Piggott, AR 72454
Phone (870) 324-5310

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

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": "1571356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706054400000",
    "number": "1912540329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "264 N 3RD AVE",
            "city": "PIGGOTT",
            "state": "AR",
            "postal_code": "724542009",
            "telephone_number": "870-324-5310",
            "fax_number": "870-324-5311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "264 N 3RD AVE",
            "city": "PIGGOTT",
            "state": "AR",
            "postal_code": "724542009",
            "telephone_number": "870-324-5310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCKENNEY PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-18",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A",
        "authorized_official_last_name": "MCKENNEY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "870-324-5310"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "PIGGOTT",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "264 N 3rd Ave",
            "city": "Piggott",
            "state": "AR",
            "country_code": "US",
            "postal_code": "724542009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "MCKENNEY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Piggott, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.