Provider Demographics
NPI:1508852831
Name:BUDGET PHARMACY INC
Entity Type:Organization
Organization Name:BUDGET PHARMACY INC
Other - Org Name:BUDGET PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:MCVEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-321-1617
Mailing Address - Street 1:117 GREENWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:71913-4428
Mailing Address - Country:US
Mailing Address - Phone:501-321-1617
Mailing Address - Fax:501-321-1755
Practice Address - Street 1:117 GREENWOOD AVE
Practice Address - Street 2:
Practice Address - City:HOT SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:71913-4428
Practice Address - Country:US
Practice Address - Phone:501-321-1617
Practice Address - Fax:501-321-1755
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-22
Last Update Date:2016-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARAR080543336C0003X, 333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Not Answered333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
1993611OtherPK
AR100606407Medicaid