PHARMACY OF OTTER CREEK


Address: 10506 Stagecoach Rd Ste F, Little Rock, AR 72210-8939
Phone: 5014552522

PHARMACY OF OTTER CREEK (NPI# 1063834380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063834380
Entity Type Organization
Organization Name PHARMACY OF OTTER CREEK
Practice Address 10506 Stagecoach Rd Ste F
Little Rock
AR 72210-8939
Practice Telephone 5014552522
Mailing Telephone 5014552522
Enumeration Date 2014-01-07
Last Update Date 2016-05-17
Authorized Official Name BELYNDA F BAKER (PHARMACIST IN CHARGE)
Authorized Official Telephone 5014552522
Authorized Official Credential PHARM. D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
PD09193 AR Suppliers

Office Location

Street Address 10506 STAGECOACH RD STE F
City LITTLE ROCK
State AR
Zip Code 72210-8939

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1487290888 John Hunter Bramlitt Counselor 12320 I-30, Little Rock, AR 72210 2019-11-20
1972159267 Arkansas Baptist Children's Homes and Family Ministries Counselor 12400 I-30, Little Rock, AR 72210 2019-08-13
1952956864 Hanrietta Evans Behavior Technician Youth Home Inc, 20302 Colonel Glenn Rd, Little Rock, AR 72210 2019-08-07
1821597287 Deanna Smith Counselor 12320 I-30 Frontage Road, Little Rock, AR 72210 2018-02-12
1922485481 Whitney Brown Social Worker 20400 Colonel Glenn, Little Rock, AR 72210 2015-05-04
1679978191 Jennifer Black Counselor 20302 Col Glenn Road, Little Rock, AR 72210 2014-10-27
1831593896 James William Takach Family Medicine 14519 Wimbledon Loop, Little Rock, AR 72210 2014-10-20
1811319734 Ben Malone Case Manager/Care Coordinator 20400 Col Glenn Road, Little Rock, AR 72210 2014-01-12
1487924296 Tara Brown Case Manager/Care Coordinator 20302 Colonel Glenn Rd., Little Rock, AR 72210 2012-01-10
1972889061 D. Rachelle Rial Case Manager/Care Coordinator 20400 Col Glenn Rd., Little Rock, AR 72210 2011-11-02
Find all providers in zip 72210

Taxonomy Information

Taxonomy Code 3336C0003X
Grouping Suppliers
Classification Pharmacy
Specialization Community/Retail Pharmacy

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1457978157 Sc Pharmacy Group Opco LLC Pharmacy 1800 Riverfront Dr Ste 100, Little Rock, AR 72202-1882 2020-06-29
1972023240 Medicine Man Pharmacy - Little Rock, Inc Pharmacy 400 N Bowman Rd Ste 31, Little Rock, AR 72211-2733 2017-06-27
1285167502 Nw Otter Creek LLC Pharmacy 10100 Stagecoach Rd, Little Rock, AR 72210-5742 2017-04-04
1619374360 Cjn Pharmacy Services LLC Pharmacy 400 N Bowman Rd Ste 19, Little Rock, AR 72211-2733 2014-11-24
1366706244 Allcare Specialty Pharmacy LLC Pharmacy 10620 Colonel Glenn Rd Ste 300, Little Rock, AR 72204-8048 2012-06-26
1548575814 Arkansas Cvs Pharmacy LLC Pharmacy 420 S University Ave, Little Rock, AR 72205-5246 2010-08-11
1760629984 Stagecoach Pharmacy LLC Pharmacy 1 Stagecoach Vlg, Ste 2, Little Rock, AR 72210-4750 2009-01-09
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
1083762082 Supermarket Investors Inc Pharmacy 10320 Stagecoach Rd, Little Rock, AR 72210-5746 2007-01-08
Find all providers in LITTLE ROCK

Competitor

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City LITTLE ROCK
Zip Code 72210

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Dataset Information

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.

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