USA DRUG EXPRESS #1006
NPI 1275616682
Pharmacy - Community/Retail Pharmacy in Little Rock, AR

NPI Status: Active since October 23, 2006

Contact Information

4010 W 12TH ST
LITTLE ROCK, AR
ZIP 72204
Phone: (501) 663-9497
Fax: (501) 664-5019

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  • Organization
  • Pharmacy
  • Community/Retail Pharmacy

About USA DRUG EXPRESS #1006

This page provides the complete NPI Profile along with additional information for Usa Drug Express #1006, a provider established in Little Rock, Arkansas operating as a Pharmacy, focusing in community/retail pharmacy . The healthcare provider is registered in the NPI registry with number 1275616682 assigned on October 2006. The practitioner's primary taxonomy code is 3336C0003X. The provider is registered as an organization and their NPI record was last updated 17 years ago. The provider's is doing business as Usa Drug Express #1006. The authorized official of this NPI record is Mr. Gary M. Boone (Director Of Hme Operations)

NPI
1275616682
Provider Legal Name
SUPER D DRUG ACQUISITION CO.
Other Organization Name
USA DRUG EXPRESS #1006
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
4010 W 12TH ST LITTLE ROCK, AR 72204
Location Phone
(501) 663-9497
Location Fax
(501) 664-5019
Mailing Address
2100 BROOKWOOD DR LITTLE ROCK, AR 72202
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-23-2006
Last Update Date
10-22-2008
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pharmacy Community/Retail Pharmacy

Taxonomy Code
3336C0003X
Type
Suppliers
Taxonomy Description
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1332B00000XSuppliers

Durable Medical Equipment & Medical Supplies

AR20066 (AR)
2333600000XSuppliers

Pharmacy

AR20066 (AR)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. GARY M. BOONE

Authorized Official Title
DIRECTOR OF HME OPERATIONS
Authorized Official Phone
(479) 394-6363

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
0401048OTHER (01)OTHER ID NUMBER-COMMERCIAL NUMBER
135607716OTHER (01)ARMEDICAID DME
133660407MEDICAID (05)AR 
1199580047MEDICARE NSC (07)AR 
10615OTHER (01)ARMEDICARE FLU

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1275616682
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2214512112616
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 4 + 5 + 1 + 2 + 1 + 1 + 2 + 6 + 1 + 6 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1275616682 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1700503745UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES
Organization
Clinic/Center (Community Health)4010 W 12TH ST
LITTLE ROCK, AR 72204
(501) 614-2492
1972209922 LINDSAY RAE RUHR PHD, LCSW
Individual
Social Worker (Clinical)4010 W 12TH ST
LITTLE ROCK, AR 72204
(501) 614-2492

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1275616682, enumerated in the NPI registry as an "organization" on October 23, 2006

The provider is located at 4010 W 12th St Little Rock, Ar 72204 and the phone number is (501) 663-9497

This medical organization specializes in Pharmacy with taxonomy code 3336C0003X with a focus in Community/Retail Pharmacy

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on October 23, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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