PPG STORE 1 LLC


Address: 607 Highway 71 E Ste B, Mansfield, AR 72944-3709
Phone: 4792696161

PPG STORE 1 LLC (NPI# 1538527569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1538527569
Entity Type Organization
Organization Name PPG STORE 1 LLC
Other Organization Name CORNERSTONE PHARMACY MANSFIELD
Practice Address 607 Highway 71 E Ste B
Mansfield
AR 72944-3709
Mailing Address Po Box 8070
Fayetteville
AR 72703-0001
Practice Telephone 4792696161
Practice Fax Number 4792696052
Mailing Telephone 8708140605
Mailing Fax Number 8888610863
Enumeration Date 2016-02-04
Last Update Date 2016-03-09
Authorized Official Name ZACH HOLDERFIELD (PARTNER, RPH, AO)
Authorized Official Telephone 8708140605
Authorized Official Credential RPH
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 333600000X Pharmacy Suppliers
Y 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
AR20830 AR Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
PK 2158060 01

Other Provider/Organization Names

Other Name Type Code
Cornerstone Pharmacy Mansfield Doing Business As Name - Organization

Office Location

Street Address 607 HIGHWAY 71 E STE B
City MANSFIELD
State AR
Zip Code 72944-3709

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1588794978 Larry D. Brown Dentist 407 East Howard Street, Mansfield, AR 72944 2007-03-06
1265530331 Larry Kenneth Goodwin Chiropractor 2100 Lake Shore Lane, Mansfield, AR 72944 2006-09-20
1912437781 Kyle C Sharp Dentist 407 East Howard Street, Mansfield, AR 72944 2017-06-14
1902336118 Hometown Dental Clinic/Center 407 E Howard St, Mansfield, AR 72944-0067 2017-06-20
1407037450 Don's Drug, Inc. Durable Medical Equipment & Medical Supplies 213 E. Howard St, Mansfield, AR 72944-0646 2007-11-19
1538529508 Health-wise Pharmacy, Pllc Pharmacy 213 E Howard St, Mansfield, AR 72944-3411 2016-03-03
1417089657 Mansfield Public Schools Local Education Agency (LEA) 402 Grove St, Mansfield, AR 72944-3422 2007-03-12
1427420702 Schluterman Eye Care & Optical, Inc Optometrist 100 N Walnut Ave, Suite C, Mansfield, AR 72944-3522 2015-10-26
1871854851 Meghan E Newman Counselor 100 N Walnut Ave Ste C, Mansfield, AR 72944-3522 2012-06-06
1295774917 Mercy Hospital Waldron Clinic/Center 100 N Walnut Ave Ste A, Mansfield, AR 72944-3522 2006-06-06
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Taxonomy Information

Taxonomy Code 3336C0003X
Grouping Suppliers
Classification Pharmacy
Specialization Community/Retail Pharmacy

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1316439748 Ambika Pharmacy LLC Pharmacy 2300 Matlock Rd Ste 37, Mansfield, TX 76063-5018 2018-06-01
1992104194 Shatiff Pharmacy Inc Pharmacy 2771 E Broad St Ste 219, Mansfield, TX 76063-9157 2014-08-14
1124459870 Melrose Pharmacy LLC Pharmacy 2860 Highway 157 N Ste 120, Mansfield, TX 76063-8883 2013-12-06
1205922457 Coles Pharmacy Pharmacy 2 S Main Street, Mansfield, PA 16933-1508 2006-10-05
1043311509 Pennsylvania Cvs Pharmacy, L.L.C. Pharmacy 197 N Main St, Mansfield, PA 16933-1311 2006-09-26
1467551838 Cvs Pharmacy Inc Pharmacy 261 Chauncy St, Mansfield, MA 02048-1247 2006-09-22
1427156272 Cvs Pharmacy Inc Pharmacy 2882 N Fm 157, Mansfield, TX 76063 2006-09-20
1245334036 Cvs Pharmacy Inc Pharmacy 1100 N Walnut Creek Dr, Mansfield, TX 76063-2502 2006-09-12
1063515765 Ohio Cvs Stores LLC Pharmacy 1411 Lexington Ave, Mansfield, OH 44907-2629 2006-09-07
1679588644 Walgreen Co Pharmacy 750 N Walnut Creek Dr, Mansfield, TX 76063-3208 2006-07-29
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Competitor

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City MANSFIELD
Zip Code 72944

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Dataset Information

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.

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