FOOTES SUPER DRUG INC (NPI# 1033252267) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033252267 |
| Entity Type | Organization |
| Organization Name | FOOTES SUPER DRUG INC |
| Practice Address |
109 East Adams Street Hamburg AR 71646 |
| Practice Telephone | 8708535275 |
| Practice Fax Number | 8708538000 |
| Mailing Telephone | 8708535275 |
| Mailing Fax Number | 8708538000 |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2008-12-12 |
| Authorized Official Name | MR. JEFF SAWYER FOOTE SR. (PRESIDENT) |
| Authorized Official Telephone | 8708535275 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
AR10554 | AR | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 100121407 | 05 |
| Street Address |
109 EAST ADAMS STREET |
| City | HAMBURG |
| State | AR |
| Zip Code | 71646 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699130468 | Mainline Health Systems, Inc. | Clinic/Center | 206 S Bartlett, Hamburg, AR 71646 | 2015-12-22 |
| 1578980595 | Cynthia Dianne Stahley | Nurse Practitioner | 1109 Cub Drive, Hamburg, AR 71646 | 2014-03-27 |
| 1215161708 | Cleveland County School District | Local Education Agency (LEA) | 202 E Parker Street, Hamburg, AR 71646 | 2009-05-12 |
| 1013159557 | Kara Elizabeth Morgan | Dentist | 303 W. Lincoln Street, Hamburg, AR 71646 | 2009-03-30 |
| 1558530733 | Leslie Stephanie Hodge | Case Manager/Care Coordinator | 101 N Cherry, Hamburg, AR 71646 | 2008-02-21 |
| 1821267006 | Daryl L Daniels Jr. | Case Manager/Care Coordinator | 101 North Cherry, Hamburg, AR 71646 | 2008-02-21 |
| 1922193937 | William Eugene Foote Iv | Dentist | 201 S Cherry St, Hamburg, AR 71646 | 2006-10-04 |
| 1437632627 | Mainline Health Systems, Inc | Clinic/Center | 1109 Cub Drive, Hamburg, AR 71646 | 2018-09-13 |
| 1679743397 | Audra Clark | Case Manager/Care Coordinator | 101 North Cherry, Hamburg, AR 71646 | 2008-03-10 |
| 1720258593 | Loren B Beck | Counselor | 101 North Cherry, Homburg, AR 71646 | 2008-03-07 |
| Find all providers in zip 71646 | ||||
| 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] |
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|---|---|---|---|---|
| 1184789505 | Adams & Bright Drugs LLC | Pharmacy | 306 State St, Hamburg, PA 19526-1802 | 2006-12-26 |
| 1407954118 | Ram Pharmacy, Inc | Pharmacy | 7472 E M 36, Hamburg, MI 48139-0245 | 2006-09-20 |
| 1356445019 | Cvs Albany LLC | Pharmacy | 358 Buffalo St, Hamburg, NY 14075-3862 | 2006-09-12 |
| 1023039088 | Genesee Valley Group Health Assoc | Pharmacy | 151 Elmview Ave, Hamburg, NY 14075-3762 | 2006-07-22 |
| 1558706317 | Freds Stores of Tennessee Inc. | Pharmacy | 700 N Main St, Hamburg, AR 71646-2718 | 2013-05-07 |
| 1972664837 | J. Rutowski of Wanakah Inc. | Pharmacy | 4923 Lake Shore Rd, Hamburg, NY 14075-5662 | 2006-12-13 |
| 1245240746 | Lagrone Drug Incorporated | Pharmacy | 201 N Main St, Hamburg, AR 71646-3264 | 2006-08-08 |
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| 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 | ||||
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| 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.