HOLIDAY ISLAND PHARMACY, LLC (NPI# 1760025274) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760025274 |
| Entity Type | Organization |
| Organization Name | HOLIDAY ISLAND PHARMACY, LLC |
| Practice Address |
2 Forest Park Dr Ste A Holiday Island AR 72631-9229 |
| Practice Telephone | 4792392121 |
| Practice Fax Number | 4792392122 |
| Mailing Telephone | 4792392121 |
| Mailing Fax Number | 4792392122 |
| Enumeration Date | 2019-10-28 |
| Last Update Date | 2019-12-17 |
| Authorized Official Name | JEFFERY PRICE (OWNER/PHARMACIST) |
| Authorized Official Telephone | 5014257814 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| Other Name | Type Code |
|---|---|
| Holiday Island Pharmacy | Doing Business As Name - Organization |
| Street Address |
2 FOREST PARK DR STE A |
| City | HOLIDAY ISLAND |
| State | AR |
| Zip Code | 72631-9229 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902445943 | Amy Johnson | Pharmacist | 2 Forest Park Dr Ste A, Holiday Island, AR 72631-9229 | 2019-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427444124 | Holiday Island Operations, LLC | Assisted Living Facility | 89 Hillside Drive, Holiday Island, AR 72631 | 2015-04-09 |
| 1003916420 | Eureka Springs Hospital | Home Health | 6 Forest Park, Suite D & E, Holiday Island, AR 72631 | 2006-09-25 |
| 1881171551 | Air Evac Ems, Inc. | Ambulance | 1 Park Dr Ste A, Holiday Island, AR 72631 | 2018-07-25 |
| 1881795789 | Eureka Springs Hospital | Hospice Care, Community Based | 6 Forest Park, Suite D & E, Holiday Island, AR 72631 | 2006-09-26 |
| 1942357405 | Green Acre Lodge Inc. | Assisted Living Facility | 89 Hillside Dr, Holiday Island, AR 72631-4618 | 2007-01-05 |
| 1518282391 | Ptworks,p.a. | Physical Therapist | 18 Green Meadow Ln Apt D, Holiday Island, AR 72631-4651 | 2010-04-05 |
| 1033737762 | Retreat At Skyridge | Substance Abuse Rehabilitation Facility | 637 County Road 111, Eureka Springs, AR 72631-9030 | 2020-07-09 |
| 1588980437 | Edwin Wood White | Psychiatry & Neurology | 202 Ridge Rd, Eureka Springs, AR 72631-9052 | 2010-04-18 |
| 1023367752 | Ruthann Marie Tucker | Nurse Practitioner | 161 Hillcrest Rd, Eureka Springs, AR 72631-9080 | 2012-09-10 |
| 1538195508 | Mercy Clinic Springfield Communities | Family Medicine | 1 Park Dr, Suite C, Holiday Island, AR 72631-9216 | 2006-06-23 |
| Find all providers in zip 72631 | ||||
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1730722463 | Beebe Family Pharmacy, LLC | Pharmacy | 1701 W Dewitt Henry Dr, Beebe, AR 72012-2024 | 2019-10-25 |
| 1619519436 | Donna Ring Corporation | Pharmacy | 138 S 2nd, Piggott, AR 72454 | 2019-10-14 |
| Find all providers with the same taxonomy | ||||
| City | HOLIDAY ISLAND |
| Zip Code | 72631 |
Please comment or provide details below to improve the information on HOLIDAY ISLAND PHARMACY, LLC.
| 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.