NPI Record of RECTOR DOWNTOWN DRUG, INC. NPI 1649280389

Pharmacist in Rector, AR

Complete NPI Record

Field Name Value Definition
NPI1649280389The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
Entity Type Code2Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Employer Identification Number EINUNAVAILThe Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
Provider Organization Name Legal Business NameRECTOR DOWNTOWN DRUG, INC.The name of the organization provider. If the provider is an organization, this is the legal business name.
Provider First Line Business Mailing Address403 S MAIN STThe first line mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider first line location address’’.
Provider Business Mailing Address City NameRECTORThe city name in the mailing address of the provider being identified.
Provider Business Mailing Address State NameARThe State or Province name in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address State name’’.
Provider Business Mailing Address Postal Code724611706The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as ‘‘Provider location address postal code’’.
Provider Business Mailing Address Country Code If outside U S USThe country code in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address country code’’.
Provider Business Mailing Address Telephone Number8705953523The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address telephone number’’.
Provider First Line Business Practice Location Address403 S MAIN STThe first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City NameRECTORThe city name in the location address of the provider being identified.
Provider Business Practice Location Address State NameARThe State code in the location of the provider being identified.
Provider Business Practice Location Address Postal Code724611706The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Country Code If outside U S USThe country code in the location address of the provider being identified.
Provider Business Practice Location Address Telephone Number8705953523The telephone number associated with the location address of the provider being identified.
Provider Enumeration Date8/8/2006The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date12/7/2018The date that a record was last updated or changed.
Authorized Official Last NameHILLThe last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
Authorized Official First NameROBERTThe first name of the authorized official.
Authorized Official Middle NameKEITHThe middle name of the authorized official.
Authorized Official Title or PositionOWNER, PRESIDENTThe title or position of the authorized official.
Authorized Official Telephone Number8705953523The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code 1183500000XCode designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
Provider License Number State Code 1MOThe code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
Healthcare Provider Primary Taxonomy Switch 1N
Healthcare Provider Taxonomy Code 2332B00000X
Provider License Number State Code 2MOThe code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
Healthcare Provider Primary Taxonomy Switch 2N
Healthcare Provider Taxonomy Code 3332B00000X
Provider License Number State Code 3ARThe code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
Healthcare Provider Primary Taxonomy Switch 3N
Healthcare Provider Taxonomy Code 43336C0003X
Healthcare Provider Primary Taxonomy Switch 4N
Healthcare Provider Taxonomy Code 53336L0003X
Healthcare Provider Primary Taxonomy Switch 5N
Healthcare Provider Taxonomy Code 6183500000X
Provider License Number State Code 6AR
Healthcare Provider Primary Taxonomy Switch 6Y
Other Provider Identifier 1623892007Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
Other Provider Identifier Type Code 105Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
Other Provider Identifier State 1MO
Other Provider Identifier 2115515407Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
Other Provider Identifier Type Code 205Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
Other Provider Identifier State 2AR
Other Provider Identifier 3603892001Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
Other Provider Identifier Type Code 305Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
Other Provider Identifier State 3MO
Is Organization SubpartN
Authorized Official Name Prefix TextDR.
Authorized Official Credential TextP.D.
Healthcare Provider Taxonomy Group 1193200000X MULTI-SPECIALTY GROUP
Healthcare Provider Taxonomy Group 6193200000X MULTI-SPECIALTY GROUP