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LANGSTON DRUG STORE INC. NPI 1801885041


NPI Information

NPI: 1801885041
Provider Name: LANGSTON DRUG STORE, INC.
Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
1202 MAIN ST
VAN BUREN, AR
ZIP 72956
Phone: (479) 474-3431
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LANGSTON DRUG STORE, INC. is a pharmacy in Van Buren, AR. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. LANGSTON DRUG STORE, INC. NPI is 1801885041. The provider is registered as an organization entity type.

The provider's business location address is:

1202 MAIN ST
VAN BUREN, AR
ZIP 72956-555
Phone: (479) 474-3431
Fax: (479) 474-0106

The provider's authorized official is Rhonda Lea Miller-morrison .
The authorized official title is President and has the following contact phone number (417) 678-4136.

The enumeration date for this NPI number is 10/20/2005 and was last updated on 1/22/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336L0003XPharmacyLong Term Care PharmacyAR20382ARKANSASNo
2333600000XPharmacyAR20382ARKANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1100246160AMEDICAIDOKLAHOMA
2101120407MEDICAIDARKANSAS
30400678OTHERARKANSASNCPDP
4139920718MEDICAIDARKANSAS
51288620001MEDICARE NSCARKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.