COLLIER DRUG STORES INC (NPI# 1063775666) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063775666 |
| Entity Type | Organization |
| Organization Name | COLLIER DRUG STORES INC |
| Other Organization Name | COLLIER COMPOUNDING |
| Practice Address |
5203 Willow Creek Dr Ste 1 Springdale AR 72762-0876 |
| Mailing Address |
Po Box 1085 Fayetteville AR 72702-1085 |
| Practice Telephone | 4799354336 |
| Mailing Telephone | 4794426262 |
| Mailing Fax Number | 4795219111 |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2016-03-24 |
| Authorized Official Name | MEL COLLIER (OWNER) |
| Authorized Official Telephone | 4794426262 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
AR20673 | AR | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2135550 | 01 |
| Other Name | Type Code |
|---|---|
| Collier Compounding | 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 |
| 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 |
| 1003816174 | Collier Drug Stores Inc | Pharmacy | 801 E Douglas St, Prairie Grove, AR 72753-2737 | 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 |
5203 WILLOW CREEK DR STE 1 |
| City | SPRINGDALE |
| State | AR |
| Zip Code | 72762-0876 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861013443 | Samantha G Abbey | Behavior Technician | 6836 Issac's Orchard Rd, Springdale, AR 72762 | 2020-05-05 |
| 1598393605 | Highlands Oncology Group Pa | Pharmacy | 3901 Parkway Circle, Springdale, AR 72762 | 2020-04-01 |
| 1366922320 | Mercy Northwest Arkansas Ambulatory Services LLC | Clinic/Center | 4962 Elm Springs Road, Suite 5, Springdale, AR 72762 | 2018-08-20 |
| 1790281087 | Cheryl Nikol Treat | Nurse Practitioner | 6801 Isaacs Orchard Rd Ste 211, Springdale, AR 72762 | 2018-04-04 |
| 1902304876 | Northwest Arkansas Physical Ability Testing Center, P.a. | Clinic/Center | 4001 Wagon Wheel Road, Springdale, AR 72762 | 2018-01-25 |
| 1609387612 | Rodriguez Dentistry Pllc | Dentist | 1521 Executive Place, Suite A, Springdale, AR 72762 | 2017-10-17 |
| 1306370630 | Medworks LLC | Internal Medicine | 986 Elmwood, Suite C, Springdale, AR 72762 | 2017-04-13 |
| 1790223006 | Sam's West, Inc. | Technician/Technologist | 1517 Gene George Blvd, Springdale, AR 72762 | 2017-02-07 |
| 1255875746 | Arkansas Childrens Northwest, Inc. | General Acute Care Hospital | 2601 South 56th Street, Springdale, AR 72762 | 2016-12-19 |
| 1114473261 | Whitney E Mix | Counselor | 1672 South 48th Street, Suite B, Springdale, AR 72762 | 2016-08-29 |
| Find all providers in zip 72762 | ||||
| Taxonomy Code | 3336C0004X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Compounding Pharmacy |
| A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner’s Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice. |
| Notes: Sources: NABP Model Practice Act, Appendix C - Good Compounding Practice, USP <795> and <797>, and Pharmacy Compounding Accreditation Board [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386761757 | Westside Family Pharmacy Inc | Pharmacy | 3819 W Sunset Ave, Springdale, AR 72762-4959 | 2007-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164056206 | Smith Drug and Compounding Inc | Pharmacy | 1 Mercy Ln Ste 103, Hot Springs, AR 71913-6408 | 2020-02-27 |
| 1285285908 | Tripharma Inc. | Pharmacy | 310 N Progress Ave, Siloam Springs, AR 72761 | 2019-09-24 |
| 1609352566 | Tripharma Inc | Pharmacy | 3500 Sw Regional Airport Blvd Ste 2, Bentonville, AR 72712 | 2018-07-13 |
| 1447619572 | Ppg Store 2 LLC | Pharmacy | 560 Gentry Blvd, Gentry, AR 72734-8576 | 2016-02-17 |
| 1588091201 | Collier Drug Stores Inc | Pharmacy | 2491 N. Center Street, Elkins, AR 72727 | 2013-09-27 |
| 1447590146 | Whitehall Pharmacy LLC | Pharmacy | 2302 W 28th Ave Ste B, Pine Bluff, AR 71603-5081 | 2013-02-18 |
| 1144588278 | Infinity Compounding Solutions LLC | Pharmacy | 1204 Se 28th St Ste 2, Bentonville, AR 72712-3887 | 2012-04-26 |
| 1043546799 | Cornerstone Pharmacy of Bella Vista LLC | Pharmacy | 1 Mercy Way Ste 50, Bella Vista, AR 72714-3000 | 2009-10-29 |
| 1154577138 | Us Compounding Inc. | Pharmacy | 2515 College Ave, Conway, AR 72034-6135 | 2008-08-11 |
| 1275708042 | Pharmacy Care of Arkansas LLC | Pharmacy | 10620 Colonel Glenn Rd Ste 400, Little Rock, AR 72204-8004 | 2008-04-23 |
| Find all providers with the same taxonomy | ||||
| City | SPRINGDALE |
| Zip Code | 72762 |
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.