Clinic Drug of Searcy Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

CLINIC DRUG OF SEARCY INC

Practice address

1120 S Main St
Ste B
Searcy, AR 72143-7319

Phone

(501) 268-5811

Fax

(501) 305-4316

NPI assigned

Nov 18, 2008

Last updated

Nov 18, 2008By the provider in NPPES

Organization subpart

Yes

Parent organization

CLINIC DRUG OF SEARCY INCAs reported in NPPES

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

Authorized official

Name

Debora Tucker

Title

Owner Pic

Phone

(501) 268-5811

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Clinic Drug of Searcy Inc2 organizations share this tax ID, including this one

Part of

Clinic Drug of Searcy Inc

Other organizations with this tax ID 1

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

• Clinic Drug of Searcy Inc

  • Community/Retail Pharmacy
  • Searcy, AR
  • NPI 1538273503
  NPD tax ID

Locations

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

{
    "created_epoch": "1226966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226966400000",
    "number": "1952556995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 S MAIN ST",
            "address_2": "STE B",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721437319",
            "telephone_number": "501-268-5811",
            "fax_number": "501-305-4316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 S MAIN ST",
            "address_2": "STE B",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721437319",
            "telephone_number": "501-268-5811",
            "fax_number": "501-305-4316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINIC DRUG OF SEARCY INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CLINIC DRUG OF SEARCY INC",
        "enumeration_date": "2008-11-18",
        "last_updated": "2008-11-18",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "DEBORA",
        "authorized_official_title_or_position": "OWNER PIC",
        "authorized_official_telephone_number": "501-268-5811"
    },
    "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": "154595716",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tyrone Clegg, MHPP
• Clements Wellness Center Inc
• Herman Ronald Clements II, MD
• Michael E Clevenger, MD
• Clinic Drug of Searcy Inc
• Clinically Proven Healthcare
• Brandi Cloninger-Cunningham, RN
• Andrew Miles Clothier, DPM
• Staci Diann Clouse, PA-C
• Cloverdale Counseling Group

• Durable Medical Equipment & Medical Supplies in Searcy, AR
• Providers in Searcy, 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 Nov 18, 2008; 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.