NPIMap

Organization Active NPI

City Pharmacy Inc

  • Community/Retail Pharmacy
  • Pocahontas, AR
National Provider Identifier
1982719902
Registry record updated Aug 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
AR11001 Issued in AR
Legal business name
CITY PHARMACY INC
Practice address
606 S Park St
Pocahontas, AR 72455-3132
Phone
(870) 892-5517
Fax
(870) 892-4091
NPI assigned
Aug 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2014

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

Authorized official

Name
Aretha Smith, PHARMDNPI 1891384467
Title
Pharmacist in Charge
Phone
(870) 892-5517

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X AR11001 AR Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

606 S Park St
Pocahontas, AR 72455-3132

Mailing address

606 S Park St
Pocahontas, AR 72455-3132
Phone (870) 892-5517

Other identifiers 2

IdentifierTypeStateIssuer
100218407MedicaidAR
1994123OtherPK

Other names 1

  • CITY PHARMACY Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930076405 AR DME Supplier - Pharmacy 7113044835 Practice locations: Pocahontas, AR
O20121116000511 AR Part B Supplier - Mass Immunization (Roster Biller Only) 7113044835 Practice locations: Pocahontas, AR

National Provider Directory

National Provider Directory
Tax ID family
City Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

606 S Park St
Pocahontas, AR 72455
Phone (870) 892-5517

Practitioners & affiliated clinicians

Practitioners 3

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": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409097600000",
    "number": "1982719902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 S PARK ST",
            "city": "POCAHONTAS",
            "state": "AR",
            "postal_code": "724553132",
            "telephone_number": "870-892-5517",
            "fax_number": "870-892-4091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 S PARK ST",
            "city": "POCAHONTAS",
            "state": "AR",
            "postal_code": "724553132",
            "telephone_number": "870-892-5517",
            "fax_number": "870-892-4091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2014-08-27",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ARETHA",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "870-892-5517",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AR",
            "license": "AR11001",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100218407",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1994123",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CITY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pocahontas, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2014; 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.