MITCHELL'S MAIN STREET PHARMACY, INC (NPI# 1447503941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447503941 |
| Entity Type | Organization |
| Organization Name | MITCHELL'S MAIN STREET PHARMACY, INC |
| Other Organization Name | MITCHELL'S MAIN STREET PHARMACY |
| Practice Address |
214 East Main St Mountain View AR 72560 |
| Mailing Address |
Po Box 2798 Mountain View AR 72560-2798 |
| Practice Telephone | 8702693253 |
| Practice Fax Number | 8702695120 |
| Mailing Telephone | 8702693253 |
| Mailing Fax Number | 8702695120 |
| Enumeration Date | 2012-10-22 |
| Last Update Date | 2013-03-04 |
| Authorized Official Name | EDDIE MITCHELL (PRESIDENT) |
| Authorized Official Telephone | 8702693253 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
AR14641 | AR | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 0424111 | 01 |
| Other Name | Type Code |
|---|---|
| Mitchell's Main Street Pharmacy | Doing Business As Name - Organization |
| Street Address |
214 EAST MAIN ST |
| City | MOUNTAIN VIEW |
| State | AR |
| Zip Code | 72560 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558979781 | Creoks Mental Health Services, Inc | Clinic/Center | 301 Industrial Road, Mountain View, AR 72560 | 2020-07-14 |
| 1194377861 | John Randolph Crone II | Physical Therapist | 103 Mountain Place Drive, Mountain View, AR 72560 | 2019-07-12 |
| 1154898161 | Candace Casey Lane | Physical Therapy Assistant | 260 Hickory Circle, Mountain View, AR 72560 | 2018-10-29 |
| 1780102210 | Janet Karen Watkins | Developmental Therapist | 1810 Ozarka College Drive, Mountain View, AR 72560 | 2017-09-05 |
| 1861928038 | Jason Nope | Registered Nurse | 217 Brewer Avenue, Mountain View, AR 72560 | 2017-05-10 |
| 1013377415 | Charles Grinder | Nurse Practitioner | 102 Mountain Place Dr Ste C, Mountain View, AR 72560 | 2016-02-26 |
| 1912365982 | Baxter Regional Health System | Family Medicine | 102 Mountain Place Drive, Suite C, Mountain View, AR 72560 | 2016-02-05 |
| 1790142859 | Baxter Regional Health System | Nurse Practitioner | 803 W Main St., Mountain View, AR 72560 | 2016-01-20 |
| 1518337732 | Beverly Clark | Nurse Practitioner | 803 West Main Street, Mountain View, AR 72560 | 2015-09-30 |
| 1366743833 | Heather A Gilbreath | Licensed Practical Nurse | 211 Blanchard Ave., Mountain View, AR 72560 | 2010-11-15 |
| Find all providers in zip 72560 | ||||
| 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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| 1124392147 | Walgreen Co | Pharmacy | 1905 W El Camino Real, Mountain View, CA 94040-2216 | 2012-03-08 |
| 1770819674 | Los Altos Pharmacy At El Camino Hospital | Pharmacy | 2500 Grant Rd Ste 1b20, Mountain View, CA 94040-4302 | 2009-10-27 |
| 1962417238 | Walgreen Co | Pharmacy | 121 E El Camino Real, Mountain View, CA 94040-2701 | 2006-07-29 |
| 1114969946 | Longs Drug Stores California LLC | Pharmacy | 2630 W El Camino Real, Mountain View, CA 94040-1117 | 2006-06-13 |
| 1740818103 | Moonjung April Kim | Pharmacy | 121 E El Camino Real, Mountain View, CA 94040-2701 | 2020-03-31 |
| 1306031059 | Longs Drug Stores California, LLC. | Pharmacy | 850 California St, Mountain View, CA 94041 | 2007-09-06 |
| 1871640193 | Kaiser Foundation Health Plan Inc | Pharmacy | 555 Castro St, Mountain View, CA 94041-2009 | 2007-01-05 |
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| 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 | MOUNTAIN VIEW |
| Zip Code | 72560 |
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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.