Davis Drug Store Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

DAVIS DRUG STORE INC

Practice address

1645 Hwy 62 167
Hardy, AR 72542

Phone

(870) 856-3080

Fax

(870) 856-4165

NPI assigned

Oct 12, 2006

Last updated

Oct 15, 2010By the provider in NPPES

Organization subpart

Yes

Parent organization

DAVIS DRUG STORE INCAs reported in NPPES

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

Authorized official

Name

Andrea Davis

Title

Owner

Phone

(870) 856-3080

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Davis Drug Store Inc

Locations

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287100800000",
    "number": "1942399043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 177",
            "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": "1645 HWY 62 167",
            "city": "HARDY",
            "state": "AR",
            "postal_code": "72542",
            "telephone_number": "870-856-3080",
            "fax_number": "870-856-4165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIS DRUG STORE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DAVIS DRUG STORE INC",
        "enumeration_date": "2006-10-12",
        "last_updated": "2010-10-15",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-856-3080"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149049716",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bradley Bibb MD PLLC (Access Medical Clinic)
• Bryan Scott Pollock (Hardy Drug Store)
• Benjamin Lee Cravens, LCSW
• Stephanie Crawford, DNP, APRN
• Dan T Speir OD PA
• Clifford Marsh Davis, PHARM D
• Julea Garner, M.D.
• Glden Care Adult Day Health Care Inc.
• Tera Goodman
• Hardin Therapy Services

• Durable Medical Equipment & Medical Supplies in Hardy, AR
• Providers in Hardy, AR by specialty
• Durable Medical Equipment & Medical Supplies in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2010; 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.