Organization Active NPI

Beard Drug Inc

  • Pharmacist
  • Star City, AR
National Provider Identifier
1942337811
Registry record updated Jan 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
0406202 Issued in AR
Legal business name
BEARD DRUG INC
Practice address
614 S Lincoln Ave
Star City, AR 71667-5802
Phone
(870) 628-4277
Fax
(870) 628-4278
NPI assigned
Feb 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2008

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

Authorized official

Name
Roland Edward BeardNPI 1669509535
Title
Pharmacist Owner
Phone
(870) 628-4277

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 0406202 AR Primary
Durable Medical Equipment & Medical Supplies 332B00000X 0406202 AR
Community/Retail Pharmacy 3336C0003X 0406202 AR

Addresses

Primary practice location

614 S Lincoln Ave
Star City, AR 71667-5802

Mailing address

614 S Lincoln Ave
Star City, AR 71667-5802
Phone (870) 628-4277

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240801001931 AR Part B Supplier - Mass Immunization (Roster Biller Only) 8224249214 Practice locations: Star City, AR

National Provider Directory

National Provider Directory

Locations

614 S Lincoln Ave
Star City, AR 71667
Phone (870) 628-4277

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": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200614400000",
    "number": "1942337811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 S LINCOLN AVE",
            "city": "STAR CITY",
            "state": "AR",
            "postal_code": "716675802",
            "telephone_number": "870-628-4277",
            "fax_number": "870-628-4278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 S LINCOLN AVE",
            "city": "STAR CITY",
            "state": "AR",
            "postal_code": "716675802",
            "telephone_number": "870-628-4277",
            "fax_number": "870-628-4278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEARD DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2008-01-18",
        "status": "A",
        "authorized_official_last_name": "BEARD",
        "authorized_official_first_name": "ROLAND",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PHARMACIST OWNER",
        "authorized_official_telephone_number": "870-628-4277"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "AR",
            "license": "0406202",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AR",
            "license": "0406202",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AR",
            "license": "0406202",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Star City, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2008; 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.