POLK PHARMACY MANAGEMENT, LLC (NPI# 1972616126) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972616126 |
| Entity Type | Organization |
| Organization Name | POLK PHARMACY MANAGEMENT, LLC |
| Other Organization Name | POLK PHARMACY |
| Practice Address |
333 Madison Street Clarendon AR 72029 |
| Mailing Address |
8624 E Woodruff Ave Sherwood AR 72120 |
| Practice Telephone | 8707473304 |
| Practice Fax Number | 8707475324 |
| Mailing Telephone | 5016815740 |
| Mailing Fax Number | 5016766009 |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2019-05-31 |
| Authorized Official Name | BRANDON ACHOR (OWNER) |
| Authorized Official Telephone | 5016815740 |
| Authorized Official Credential | PHARM.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
AR18271 | AR | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 163890407 | 05 |
| Other Name | Type Code |
|---|---|
| Polk Pharmacy | Doing Business As Name - Organization |
| Street Address |
333 MADISON STREET |
| City | CLARENDON |
| State | AR |
| Zip Code | 72029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770685083 | Mary Carole M Polk | Pharmacist | 333 Madison Street, Clarendon, AR 72029 | 2006-09-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548468010 | Baptist Health Hospitals | Clinic/Center | 198 N Main Street, Clarendon, AR 72029 | 2007-07-06 |
| 1285849844 | Mid-delta Health Systems, Inc. | Clinic/Center | 245 Madison St., Clarendon, AR 72029 | 2007-05-14 |
| 1093816217 | Christina Kaye Dunlap | Pharmacy Technician | 333 Madison St., Clarendon, AR 72029 | 2006-09-26 |
| 1194826305 | Jill R Vandesteeg | Pharmacy Technician | 333 Madison St, Clarendon, AR 72029 | 2006-09-26 |
| 1922109974 | Leah K Williamson | Pharmacist | 333 Madison, Clarendon, AR 72029 | 2006-09-25 |
| 1851525463 | Dewitt Hospital & Nursing Home, Inc | Ambulance | 270 Madison St, Clarendon, AR 72029-0000 | 2009-05-11 |
| 1043686116 | Megan Ellis | Contractor | 545 N Main St, Clarendon, AR 72029-2017 | 2015-08-12 |
| 1003034273 | Clarendon Public Schools | Local Education Agency (LEA) | 316 N 6th St, Clarendon, AR 72029-2412 | 2007-04-23 |
| 1871537084 | Richard Royce Wilson | Family Medicine | 245 Madison St, Clarendon, AR 72029-2706 | 2006-06-16 |
| 1194293928 | Christopher P. Hopkinson | Family Medicine | 245 Madison St, Clarendon, AR 72029-2706 | 2018-11-09 |
| Find all providers in zip 72029 | ||||
| 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 |
|---|---|---|---|---|
| 1699339507 | Polk Pharmacy Management | Pharmacy | 333 Madison St, Clarendon, AR 72029-2717 | 2019-04-25 |
| 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 |
| 1760025274 | Holiday Island Pharmacy, LLC | Pharmacy | 2 Forest Park Dr Ste A, Holiday Island, AR 72631-9229 | 2019-10-28 |
| 1730722463 | Beebe Family Pharmacy, LLC | Pharmacy | 1701 W Dewitt Henry Dr, Beebe, AR 72012-2024 | 2019-10-25 |
| 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.