ARKANSAS CVS PHARMACY, L.L.C. (NPI# 1962852954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962852954 |
| Entity Type | Organization |
| Organization Name | ARKANSAS CVS PHARMACY, L.L.C. |
| Other Organization Name | CVS PHARMACY # 10779 |
| Practice Address |
1122 S. University Ave Little Rock AR 72204 |
| Mailing Address |
One Cvs Drive Mail Code 1090 Woonsocket RI 02895-6146 |
| Practice Telephone | 5016604470 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2016-06-21 |
| Last Update Date | 2016-11-22 |
| Authorized Official Name | SUSAN COLBERT (SR. DIRECTOR-PAYER RELATIONS) |
| Authorized Official Telephone | 4017651500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | AR | Suppliers | |
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
AR | Suppliers | |
| Y | 333600000X | Pharmacy | AR | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 215807407 | 05 | |
| AR | NCPDP | 0425670 | 01 |
| AR | DME | 216638716 | 01 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY # 10779 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700334455 | Arkansas Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 110 Southwest Drive, Jonesboro, AR 72401-5827 | 2016-09-12 |
| 1154796530 | Arkansas Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 609 Military Road, Benton, AR 72015-3706 | 2015-12-10 |
| 1609248913 | Arkansas Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 1501 West Kings Hwy, Paragould, AR 72450-4010 | 2015-10-26 |
| 1215304969 | Arkansas Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 8902 Geyer Springs Rd, Little Rock, AR 72209-6421 | 2015-08-28 |
| 1003294646 | Arkansas Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 3220 N Reynolds Rd, Bryant, AR 72022-9039 | 2015-05-15 |
| 1619368792 | Arkansas Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2001 S Thompson St, Springdale, AR 72764-6329 | 2015-02-11 |
| 1912306036 | Arkansas Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2402 N. College Avenue, Fayetteville, AR 72703-3308 | 2014-08-14 |
| 1396151403 | Arkansas Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2833 Bella Vista Way, Bella Vista, AR 72714-3709 | 2014-07-09 |
| 1225443104 | Arkansas Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2015 Fayetteville Road, Van Buren, AR 72956 | 2014-06-30 |
| 1831504257 | Arkansas Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 8604 Highway 107, Sherwood, AR 72120-2902 | 2014-06-24 |
| Street Address |
1122 S. UNIVERSITY AVE |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669952966 | Shane Wilson | Non-emergency Medical Transport (VAN) | 1522 S Tyler St, Little Rock, AR 72204 | 2018-08-16 |
| 1659858348 | Poplar Grove Operations LLC | Skilled Nursing Facility | 7801 Kanis Road, Little Rock, AR 72204 | 2018-07-25 |
| 1275056004 | University of Arkansas for Medical Sciences | Orthopaedic Surgery | 108015 Colonel Glenn Rd, Little Rock, AR 72204 | 2017-07-24 |
| 1265954820 | Marilyn Marie Lynch | Registered Nurse | 7723 Colonel Glenn Road, Little Rock, AR 72204 | 2017-07-14 |
| 1841607751 | Charity Gillespie | Registered Nurse | 5210 Timberland Dr, Little Rock, AR 72204 | 2014-07-14 |
| 1043625221 | Interventional Surgery Institute of Little Rock, LLC | Clinic/Center | 9 Freeway Drive, Suite A, Little Rock, AR 72204 | 2014-06-25 |
| 1548696065 | Jamie Washington | Prosthetic/Orthotic Supplier | 4701 Westwood Ave, Little Rock, AR 72204 | 2013-09-16 |
| 1124468913 | Stephanie Rachelle Jez | Genetic Counselor, MS | 5800 West 10th Street, Freeway Medical Building, Suite 7-500, Little Rock, AR 72204 | 2013-06-26 |
| 1336492321 | Alton Charles Phillips Sr. | Counselor | 4400shuffield Drive, Little Rock, AR 72204 | 2012-10-16 |
| 1831446483 | Mattie Michelle Norman | Case Manager/Care Coordinator | 2124 Labette, Apt. N23, Little Rock, AR 72204 | 2012-08-13 |
| Find all providers in zip 72204 | ||||
| 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 |
|---|---|---|---|---|
| 1023535655 | Genoa Healthcare, LLC | Pharmacy | 10025 W Markham St Ste 135, Little Rock, AR 72205-1408 | 2017-08-24 |
| 1669835484 | Ppg Store 3, LLC | Pharmacy | 11414 W Markham Street, Little Rock, AR 72703 | 2016-03-30 |
| 1235475427 | Remedy Drug, Inc | Pharmacy | 8511 W Markham St, Little Rock, AR 72205-2432 | 2012-12-17 |
| 1669759650 | Coram Alternate Site Services, Inc. | Pharmacy | 12120 Colonel Glenn Rd Ste 8000, Little Rock, AR 72210-2847 | 2011-11-04 |
| 1538202619 | Little Rock Community Mental Health Center Inc | Pharmacy | 1100 N University Ave Ste 240, Little Rock, AR 72207-6358 | 2007-02-15 |
| 1083774210 | Kroger Limited Partnership I | Pharmacy | 1900 N Polk St, Little Rock, AR 72207-4634 | 2006-12-11 |
| 1275616682 | Super D Drug Acquisition Co. | Pharmacy | 4010 W 12th St, Little Rock, AR 72204-2047 | 2006-10-23 |
| 1255449831 | Fruchey, Inc | Pharmacy | 400 W Capitol Ave # 101a, Regions Center, Little Rock, AR 72201-3436 | 2006-08-25 |
| 1396750998 | Rx Moose Inc | Pharmacy | 6815 Cantrell Rd, Little Rock, AR 72207-4134 | 2006-07-30 |
| 1194740894 | Kroger Limited Partnership I | Pharmacy | 614 Beechwood St, Little Rock, AR 72205-3847 | 2006-07-13 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72204 |
Please comment or provide details below to improve the information on ARKANSAS CVS PHARMACY, L.L.C..
| 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.