VILLAGE APOTHECARY INC. NPI 1518368562

NPI Information

  • NPI: 1518368562
  • Provider Name: VILLAGE APOTHECARY, INC.
  • Classification: Durable Medical Equipment & Medical Supplies - 332BX2000X
  • Specialization: Oxygen Equipment & Supplies
  • Entity Type: Organization
  • Doing Business As: MT IDA HOME MEDICAL & OXYGEN
  • Address: 136 S GEORGE STREET
    MT IDA, AR
    ZIP 71957
  • Phone: (870) 867-0106

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NPI Details

VILLAGE APOTHECARY, INC. is an oxygen equipment and supplies durable medical equipment medical supplies in Mt Ida, AR. VILLAGE APOTHECARY, INC. NPI is 1518368562. The provider is registered as an organization entity type.
The provider Is Doing Business As Mt Ida Home Medical & Oxygen.

The provider's business location address is:

136 S GEORGE STREET
MT IDA, AR
ZIP 71957
Phone: (870) 867-0106
Fax: (870) 867-0134

The provider's authorized official is Michael D Butler .
The authorized official title is Pharmacist/owner and has the following contact phone number (501) 922-0777.

The enumeration date for this NPI number is 9/9/2014 and was last updated on 9/9/2014.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2332BP3500XDurable Medical Equipment & Medical SuppliesParenteral & Enteral NutritionNo
3332BX2000XDurable Medical Equipment & Medical SuppliesOxygen Equipment & SuppliesYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1119753716MEDICAIDARKANSAS

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: 11/21/2025

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