SUPERMARKET INVESTORS INC (NPI# 1548318470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548318470 |
| Entity Type | Organization |
| Organization Name | SUPERMARKET INVESTORS INC |
| Other Organization Name | HARVEST FOODS PHARMACY |
| Practice Address |
1117 Audubon Dr Maumelle AR 72113 |
| Practice Telephone | 5018517599 |
| Practice Fax Number | 5018517713 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | BRENDA MCCRADY (DIRECTOR OF PHARMACY) |
| Authorized Official Telephone | 5015700007 |
| Authorized Official Credential | BS PHARMACY |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 333600000X | Pharmacy | AR20240 | AR | Suppliers |
| X | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 0421139 | 01 |
| Other Name | Type Code |
|---|---|
| HARVEST FOODS PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174671176 | Supermarket Investors Inc | Pharmacy | 1701 Main St, Little Rock, AR 72206-1471 | 2007-01-08 |
| 1700934700 | Supermarket Investors Inc | Pharmacy | 2510 Cantrell Rd, Little Rock, AR 72202-2116 | 2007-01-08 |
| 1891843892 | Supermarket Investors Inc | Pharmacy | 4101 E Kiehl Ave, Sherwood, AR 72120-3539 | 2007-01-08 |
| 1316095011 | Supermarket Investors Inc | Durable Medical Equipment & Medical Supplies | 5914 Highway 5 N, Bryant, AR 72202 | 2007-01-08 |
| 1255489258 | Supermarket Investors Inc | Durable Medical Equipment & Medical Supplies | 7507 Cantrell Rd, Little Rock, AR 72207-2529 | 2007-01-08 |
| 1942358874 | Supermarket Investors Inc | Pharmacy | 2901 Olive Street, Pine Bluff, AR 71601 | 2007-01-08 |
| 1083762082 | Supermarket Investors Inc | Pharmacy | 10320 Stagecoach Rd, Little Rock, AR 72210-5746 | 2007-01-08 |
| 1356499354 | Supermarket Investors Inc | Pharmacy | 412 N Washington St, Forrest City, AR 72335-3359 | 2007-01-08 |
| 1528116522 | Supermarket Investors Inc | Pharmacy | 6800 Colonel Glenn Rd, Little Rock, AR 72204-7602 | 2007-01-08 |
| 1437207438 | Supermarket Investors Inc | Pharmacy | 8801 Geyer Springs Rd, Little Rock, AR 72209-5053 | 2007-01-08 |
| Street Address |
1117 AUDUBON DR |
| City | MAUMELLE |
| State | AR |
| Zip Code | 72113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104347814 | Shasta Dockery | Registered Nurse | 15020 Wade Blvd., North Little Rock, AR 72113 | 2017-07-03 |
| 1235669839 | Robert Mitchell Fisher | Specialist/Technologist | 134 Vienne Pl, Maumelle, AR 72113 | 2017-06-15 |
| 1932516887 | Healthcare Express, LLP | Clinic/Center | 11819 Maumelle Blvd., North Little Rock, AR 72113 | 2014-07-11 |
| 1184997991 | Preston Lewis | Speech-Language Pathologist | 14 Braeswood Place, Maumelle, AR 72113 | 2012-02-10 |
| 1740437813 | Jennifer L Franklin | Social Worker | 115 Audubon Dr Ste 9a, Maumelle, AR 72113 | 2008-08-20 |
| 1861655912 | Dawn Melton Mulkern | Dietitian, Registered | 12 Ninth Fairway Loop, Maumelle, AR 72113 | 2008-07-09 |
| 1902028723 | Robin Reynolds | Dietitian, Registered | 9300 White Oak Crossing, N Little Rock, AR 72113 | 2007-05-02 |
| 1316096498 | Caretech Medical, Inc. | Durable Medical Equipment & Medical Supplies | 8010 Counts Massie Rd, Suite B, North Little Rock, AR 72113 | 2007-01-09 |
| 1821177353 | Maumelle Investments & Associates, LLC | Skilled Nursing Facility | 103 Alexandria Drive, Maumelle, AR 72113 | 2006-11-03 |
| 1255415956 | Austin Family Dentistry Pa | Dentist | 3201 Club Manor, Suite A, Maumelle, AR 72113 | 2006-10-25 |
| Find all providers in zip 72113 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| 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: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407157167 | Lyon Drug Company Maumelle Inc | Pharmacy | 1900 Club Manor Dr Ste 101, Maumelle, AR 72113-7443 | 2010-11-11 |
| 1871527622 | Kroger Limited Partnership I | Pharmacy | 110 Commons Dr, Maumelle, AR 72113-7266 | 2006-07-10 |
| 1588757249 | Pharmacy Operations, Inc | Pharmacy | 1701 Club Manor Dr, Maumelle, AR 72113 | 2006-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679198212 | Rachel Hardke | Pharmacy | 14984 Highway 86 W, Hazen, AR 72064-8348 | 2020-06-09 |
| 1821612326 | Sheridan Family Pharmacy LLC | Pharmacy | 677 Heritage Drive, Sheridan, AR 72150-5000 | 2020-06-01 |
| 1235614421 | Greenbrier Pharmacy Inc | Pharmacy | 61a South Broadview St, Greenbrier, AR 72058 | 2018-10-03 |
| 1376048124 | Bono Family Pharmacy, LLC | Pharmacy | 10040 Highway 63 S Ste 4, Bono, AR 72416-8669 | 2018-03-26 |
| 1073014866 | East End Express Pharmacy Inc | Pharmacy | 21019 Highway 167, Suite 100, Hensley, AR 72065 | 2018-02-27 |
| 1326546524 | White River Pharmacy, LLC | Pharmacy | 7321 W Sunset Ave Ste G, Springdale, AR 72762-0990 | 2018-01-23 |
| 1013422179 | Ppg Store 6 LLC | Pharmacy | 2235 Dave Ward Dr Ste 108, Conway, AR 72034-7040 | 2017-12-11 |
| 1952814857 | Health-wise Pharmacy Pllc | Pharmacy | 47 S Hwy 71 Bypass, Waldron, AR 72958 | 2017-11-14 |
| 1598278806 | Genoa Healthcare, LLC | Pharmacy | 21 Bridgeway Rd Ste P, North Little Rock, AR 72113-9514 | 2017-11-08 |
| 1811414972 | Genoa Healthcare, LLC | Pharmacy | 715 N College Ave Ste P1, El Dorado, AR 71730-4403 | 2017-08-29 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SUPERMARKET INVESTORS 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.