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MONTICELLO DRUG INC
NPI 1417021932
Pharmacy - Long Term Care Pharmacy in Monticello, AR

Active since November 17, 2006
109 W GAINES ST, MONTICELLO, AR 71655(870) 367-6291(870) 367-2403 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Monticello Drug Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MONTICELLO DRUG INC (NPI 1417021932) is a healthcare organization registered as a long term care pharmacy in Monticello, Arkansas and active in the NPI registry since November 2006. The organization lists Donald Koen, President, as its authorized official.

NPPES Registry Identity

NPI1417021932
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameMONTICELLO DRUG INC
Location Address109 W GAINES STMonticello, AR 71655-4717
Mailing Address109 W Gaines StMonticello, AR 71655-4717
Phone(870) 367-6291
Fax(870) 367-2403
Organization SubpartNo
Authorized OfficialDonald KoenPresident · (870) 367-6291
Enumeration DateNovember 17, 2006
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1417021932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
Also ListedPharmacyTaxonomy 333600000X · License AR04804 (AR)
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
109 W GAINES ST, Monticello, AR 71655
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Other Identifiers 1

Other0404804Other Id Number-commercial Number

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Monticello Drug Inc's NPI number?

The NPI number for Monticello Drug Inc is 1417021932. It was assigned to this organization in the NPPES registry on November 17, 2006.

Where is Monticello Drug Inc located?

Monticello Drug Inc is located at 109 W Gaines St, Monticello, AR 71655. The listed phone number is (870) 367-6291.

What is Monticello Drug Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

When was this NPI record last updated?

The NPPES record for Monticello Drug Inc was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.