COLLIER DRUG STORES INC (NPI# 1003816174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003816174 |
| Entity Type | Organization |
| Organization Name | COLLIER DRUG STORES INC |
| Other Organization Name | COLLIER DRUG-PRAIRIE GROVE |
| Practice Address |
801 E Douglas St Prairie Grove AR 72753-2737 |
| Mailing Address |
Po Box 1085 Fayetteville AR 72702-1085 |
| Practice Telephone | 4798462195 |
| Practice Fax Number | 4798462147 |
| Mailing Telephone | 4794426262 |
| Mailing Fax Number | 4795219111 |
| Enumeration Date | 2005-07-29 |
| Last Update Date | 2018-07-19 |
| Authorized Official Name | MEL COLLIER (OWNER) |
| Authorized Official Telephone | 4794426262 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
AR20282 | AR | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 1994219 | 01 | |
| AR | 145056407 | 05 |
| Other Name | Type Code |
|---|---|
| COLLIER DRUG-PRAIRIE GROVE | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073921177 | Collier Drug Stores Inc | Pharmacy | 171 N Maestri Rd Ste 3, Springdale, AR 72762-9818 | 2014-08-01 |
| 1588091201 | Collier Drug Stores Inc | Pharmacy | 2491 N. Center Street, Elkins, AR 72727 | 2013-09-27 |
| 1063775666 | Collier Drug Stores Inc | Pharmacy | 5203 Willow Creek Dr Ste 1, Springdale, AR 72762-0876 | 2012-06-19 |
| 1336455153 | Collier Drug Stores Inc | Pharmacy | 2900 Medical Parkway Drive, Suite 120, Bentonville, AR 72712 | 2010-08-31 |
| 1609877414 | Collier Drug Stores Inc | Pharmacy | 5201 Willow Creek Dr, Johnson, AR 72741 | 2005-08-02 |
| 1598765596 | Collier Drug Stores Inc | Pharmacy | 3380 N Futrall Dr Ste 2, Ste 2, Fayetteville, AR 72703-4815 | 2005-08-01 |
| 1427058593 | Collier Drug Stores Inc | Pharmacy | 197 E Main St, Farmington, AR 72730-3077 | 2005-07-29 |
| 1699774208 | Collier Drug Stores Inc | Pharmacy | 100 W Dickson St, Fayetteville, AR 72701-5219 | 2005-07-15 |
| 1801425624 | Collier Drug Stores Inc | Pharmacy | 100 W Dickson St, Fayetteville, AR 72701-5219 | 2020-04-03 |
| Street Address |
801 E DOUGLAS ST |
| City | PRAIRIE GROVE |
| State | AR |
| Zip Code | 72753-2737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124541651 | Trenton Colby Dunn | Pharmacist | 801 E Douglas St, Prairie Grove, AR 72753-2737 | 2017-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710465190 | Arcare | Clinic/Center | 3150 E. Heritage Parkway, Farmington, AR 72753 | 2018-07-30 |
| 1982821468 | Deborah Paas Blackburn | Speech-Language Pathologist | 15322 Goose Creek Road, Prairie Grove, AR 72753 | 2007-04-19 |
| 1083742928 | Brad Green | Dentist | 401 E Buchanan, Box 288, Prairie Grove, AR 72753 | 2007-03-01 |
| 1649332511 | Sterling Drug Company | Pharmacy | 125 E. Buchanan Street, Prairie Grove, AR 72753 | 2006-12-15 |
| 1811911100 | Andrew Thomas Bain | Dentist | 128 N Mock St, Prairie Grove, AR 72753 | 2006-07-27 |
| 1457548935 | Brad H Green Dds Pa | Dentist | 401 E Buchanan, Prairie Grove, AR 72753 | 2007-09-28 |
| 1376572800 | Ron D Lee | Family Medicine | 775 E Douglas St, Prairie Grove, AR 72753 | 2006-06-30 |
| 1376589754 | Christian G Blankers | Family Medicine | 775 E Douglas St, Prairie Grove, AR 72753 | 2006-06-22 |
| 1801350137 | Kacee Bodiford | Nurse Practitioner | 3150 E. Heritage Pwy, Prairie Grove, AR 72753-0000 | 2019-01-31 |
| 1164819330 | Tracy Houston | Specialist/Technologist | 500 Cole Dr, Prairie Grove, AR 72753-2509 | 2015-04-24 |
| Find all providers in zip 72753 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649332511 | Sterling Drug Company | Pharmacy | 125 E. Buchanan Street, Prairie Grove, AR 72753 | 2006-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356942320 | Freda Cunningham | Pharmacy | 2100 Hwy 77, Marion, AR 72364 | 2020-11-05 |
| 1457978157 | Sc Pharmacy Group Opco LLC | Pharmacy | 1800 Riverfront Dr Ste 100, Little Rock, AR 72202-1882 | 2020-06-29 |
| 1790306124 | Jbr Enterprises Inc | Pharmacy | 600 Hwy 365, Mayflower, AR 72106 | 2020-04-27 |
| 1215557905 | Medman23, Inc | Pharmacy | 3201 Springhill Dr Ste 110, North Little Rock, AR 72117-2910 | 2020-04-22 |
| 1336768985 | Harps Food Stores, Inc | Pharmacy | 611 Highway 62 65 N, Harrison, AR 72601-2208 | 2020-04-14 |
| 1598393605 | Highlands Oncology Group Pa | Pharmacy | 3901 Parkway Circle, Springdale, AR 72762 | 2020-04-01 |
| 1326674870 | Caraway Drug L.l.c | Pharmacy | 106 W. State Street, Caraway, AR 72419 | 2020-03-17 |
| 1104461532 | Pruett's Food, Inc. | Pharmacy | 101 W. Main, Lockesburg, AR 71846 | 2019-11-08 |
| 1760025274 | Holiday Island Pharmacy, LLC | Pharmacy | 2 Forest Park Dr Ste A, Holiday Island, AR 72631-9229 | 2019-10-28 |
| 1730722463 | Beebe Family Pharmacy, LLC | Pharmacy | 1701 W Dewitt Henry Dr, Beebe, AR 72012-2024 | 2019-10-25 |
| Find all providers with the same taxonomy | ||||
| City | PRAIRIE GROVE |
| Zip Code | 72753 |
Please comment or provide details below to improve the information on COLLIER DRUG STORES INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.