Organization Active NPI

Econo-Mart Pharmacy Inc

  • Long Term Care Pharmacy
  • Batesville, AR
National Provider Identifier
1992369318
Registry record updated May 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
ECONO-MART PHARMACY INC
Practice address
1595 Harrison St
Batesville, AR 72501-7222
Phone
(870) 793-4179
Fax
(870) 793-7303
NPI assigned
May 1, 2019
Organization subpart
Yes
Parent organization
ECONO-MART PHARMACY INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 1, 2019

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

Authorized official

Name
Casey CallahanNPI 1316677248
Title
Administrator
Phone
(870) 793-4179

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

1595 Harrison St
Batesville, AR 72501-7222

Mailing address

1595 Harrison St
Batesville, AR 72501-7222
Phone (870) 793-4179

Other names 1

  • Econo-Mart Pharmacy LTC Other name

National Provider Directory

National Provider Directory
Tax ID family
Econo-Mart Pharmacy3 organizations share this tax ID, including this one
Part of
Econo-Mart Pharmacy

Other organizations with this tax ID 2

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1556668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556668800000",
    "number": "1992369318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1595 HARRISON ST",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725017222",
            "telephone_number": "870-793-4179",
            "fax_number": "870-793-7303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1595 HARRISON ST",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725017222",
            "telephone_number": "870-793-4179",
            "fax_number": "870-793-7303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECONO-MART PHARMACY INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ECONO-MART PHARMACY INC",
        "enumeration_date": "2019-05-01",
        "last_updated": "2019-05-01",
        "status": "A",
        "authorized_official_last_name": "CALLAHAN",
        "authorized_official_first_name": "CASEY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "870-793-4179"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Econo-Mart Pharmacy LTC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Batesville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2019; 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.