Organization Active NPI

SJD Pharmacy Inc

  • Community/Retail Pharmacy
  • Searcy, AR
National Provider Identifier
1962026583
Registry record updated May 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
SJD PHARMACY INC
Practice address
2806 E Race Ave
Searcy, AR 72143-4776
Phone
(501) 268-4121
Fax
(501) 268-7837
NPI assigned
May 29, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2020

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

Authorized official

Name
Steven DavisNPI 1609888023
Title
Owner
Phone
(501) 268-4121

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 1

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

Addresses

Primary practice location

2806 E Race Ave
Searcy, AR 72143-4776

Mailing address

2806 E Race Ave
Searcy, AR 72143-4776
Phone (501) 268-4121

Other names 1

  • Medic Sav-On Drug Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20200728003650 AR DME Supplier - Pharmacy 8921423625 Practice locations: Searcy, AR
O20200729000533 AR Part B Supplier - Pharmacy 8921423625 Practice locations: Searcy, AR

National Provider Directory

National Provider Directory

Locations

2806 E Race Ave
Searcy, AR 72143
Phone (501) 268-4121

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1590710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590710400000",
    "number": "1962026583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2806 E RACE AVE",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721434776",
            "telephone_number": "501-268-4121",
            "fax_number": "501-268-7837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2806 E RACE AVE",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721434776",
            "telephone_number": "501-268-4121",
            "fax_number": "501-268-7837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SJD PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-29",
        "last_updated": "2020-05-29",
        "certification_date": "2020-05-29",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-268-4121"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medic Sav-On Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Searcy, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2020; 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.