DAVIS DRUG STORE INC (NPI# 1871060475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871060475 |
Entity Type | Organization |
Organization Name | DAVIS DRUG STORE INC |
Practice Address |
1243 Highway 62 412 Highland AR 72542-9469 |
Practice Telephone | 8708563080 |
Practice Fax Number | 8708564165 |
Mailing Telephone | 8708563080 |
Mailing Fax Number | 8708564165 |
Enumeration Date | 2018-11-01 |
Last Update Date | 2018-11-01 |
Authorized Official Name | ANDREA DAVIS (OWNER/PHARMACIST) |
Authorized Official Telephone | 8708563080 |
Authorized Official Credential | PHARMD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers |
Other Name | Type Code |
---|---|
Pillbox Pharmacy | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598060659 | Davis Drug Store Inc | Durable Medical Equipment & Medical Supplies | 1645 Highway 62 412, Highland, AR 72542-9540 | 2011-01-21 |
1942399043 | Davis Drug Store Inc | Durable Medical Equipment & Medical Supplies | 1645 Hwy 62 167, Hardy, AR 72542 | 2006-10-12 |
1871694513 | Davis Drug Store Inc | Pharmacist | 1243 Highway 62 412, Highland, AR 72542-9469 | 2006-09-26 |
Street Address |
1243 HIGHWAY 62 412 |
City | HIGHLAND |
State | AR |
Zip Code | 72542-9469 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871694513 | Davis Drug Store Inc | Pharmacist | 1243 Highway 62 412, Highland, AR 72542-9469 | 2006-09-26 |
1336751981 | Integrative Allergy & Wellness | Family Medicine | 1243 Highway 62 412, Highland, AR 72542-9469 | 2020-08-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154978351 | Together: Individual and Family Focused Counseling, Pllc | Counselor | 3342 Highway 42 412, Hardy, AR 72542 | 2019-08-22 |
1952797979 | April Stacey | Day Training/Habilitation Specialist | 2012 Highway 62/412, Highland, AR 72542 | 2015-04-07 |
1760891519 | Chasity Johnson | Specialist/Technologist | 300 Boothe Rd, Hardy, AR 72542 | 2014-08-06 |
1346427093 | Benjamin Lee Cravens | Counselor | 2423 W Hwy 62/412, Hardy, AR 72542 | 2008-01-24 |
1689853665 | Glden Care Adult Day Health Care Inc. | Respite Care | 1508 B Hwy 62/412, Hardy, AR 72542 | 2007-10-26 |
1942404975 | Goldencare Adhc, Inc | Clinic/Center | 1508 B Hwy 62 412, Highland, AR 72542 | 2007-06-13 |
1710003769 | Karen Ann Schadler | Durable Medical Equipment & Medical Supplies | 3115 Hwy 62-412, Hardy, AR 72542 | 2007-03-21 |
1902956246 | Andrea Davis | Pharmacist | Hwy 62 412, Midway Plaza, Hardy, AR 72542 | 2007-01-11 |
1720138068 | Clifford Marsh Davis | Pharmacist | Hwy 62-412, Midway Plaza, Hardy, AR 72542 | 2007-01-11 |
1316026891 | Dan T Speir Od Pa | Optometrist | 1238 Hwy 62 412, Ste B, Hardy, AR 72542 | 2006-11-03 |
Find all providers in zip 72542 |
Taxonomy Code | 3336L0003X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Long Term Care Pharmacy |
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
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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1588972418 | Allied Health Services LLC | Pharmacy | 600 N Main St Ste C, Melbourne, AR 72556-0769 | 2010-09-14 |
1457565400 | Professional Pharmacy | Pharmacy | 1515 N. Medical Drive, Stuttgart, AR 72160 | 2007-05-09 |
Find all providers with the same taxonomy |
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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.