NPIMap

Organization Active NPI

Village Apothecary, Inc

  • Durable Medical Equipment & Medical Supplies
  • Texarkana, AR
National Provider Identifier
1972054468
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
AR00363 Issued in AR
Legal business name
VILLAGE APOTHECARY, INC
Practice address
100 East St Ste 4
Texarkana, AR 71854-6315
Phone
(870) 772-6969
Fax
(870) 773-8657
NPI assigned
Oct 19, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

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

Authorized official

Name
Dr. Michael Butler, PHARMD
Title
Owner
Phone
(501) 620-4053

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X AR00363 AR Primary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X AR00363 AR
Oxygen Equipment & Supplies (DME) 332BX2000X AR00363 AR

Addresses

Primary practice location

100 East St Ste 4
Texarkana, AR 71854-6315

Mailing address

100 East St Ste 4
Texarkana, AR 71854-6315
Phone (870) 772-6969

Other identifiers 3

IdentifierTypeStateIssuer
1235114208OtherARPHARMACY NPI
0400363OtherARNCPDP
100230407MedicaidAR

Other names 1

  • dba College Hill Drug & Medical Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180221002822 AR DME Supplier - Medical Supply CompanyDME Supplier - Oxygen & Equipment 0840195392 Practice locations: Texarkana, AR

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Village Apothecary Inc5 organizations share this tax ID, including this one
Part of
Village Apothecary Inc

Other organizations with this tax ID 4

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

Locations

100 East St
Ste 4
Texarkana, AR 71854
Phone (870) 772-6969

NPI Registry JSON

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

{
    "created_epoch": "1476835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777507200000",
    "number": "1972054468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 EAST ST STE 4",
            "city": "TEXARKANA",
            "state": "AR",
            "postal_code": "718546315",
            "telephone_number": "870-772-6969",
            "fax_number": "870-773-8657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 EAST ST STE 4",
            "city": "TEXARKANA",
            "state": "AR",
            "postal_code": "718546315",
            "telephone_number": "870-772-6969",
            "fax_number": "870-773-8657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE APOTHECARY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-19",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-620-4053",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AR",
            "license": "AR00363",
            "primary": true
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "AR",
            "license": "AR00363",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "AR",
            "license": "AR00363",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY NPI",
            "identifier": "1235114208",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "0400363",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100230407",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "dba College Hill Drug & Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Texarkana, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2026; 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.