ARKANSAS CVS PHARMACY LLC (NPI# 1134617301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134617301 |
| Entity Type | Organization |
| Organization Name | ARKANSAS CVS PHARMACY LLC |
| Other Organization Name | CVS PHARMACY 11093 |
| Practice Address |
101 E Main St Russellville AR 72801 |
| Mailing Address |
1 Cvs Drive Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 4794980014 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2018-04-24 |
| Last Update Date | 2018-06-20 |
| Authorized Official Name | SUSAN F COLBERT (SR DIRECTOR, PAYER RELATIONS) |
| Authorized Official Telephone | 4017702751 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 333600000X | Pharmacy | Suppliers |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY 11093 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548575814 | Arkansas Cvs Pharmacy LLC | Pharmacy | 420 S University Ave, Little Rock, AR 72205-5246 | 2010-08-11 |
| 1114164597 | Arkansas Cvs Pharmacy LLC | Pharmacy | 2404 S Promenade Blvd, Rogers, AR 72758-9080 | 2009-01-07 |
| 1306096615 | Arkansas Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 12700 Chenal Pkwy, Little Rock, AR 72211-3360 | 2008-09-23 |
| 1538317987 | Arkansas Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 4001 Phoenix Ave, Fort Smith, AR 72903-6099 | 2008-08-28 |
| 1417039884 | Arkansas Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 7377 Alcoa Rd, Bryant, AR 72022-6204 | 2006-10-19 |
| 1407878283 | Arkansas Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3545 N Shiloh Dr, Fayetteville, AR 72703-5359 | 2006-07-24 |
| 1316969199 | Arkansas Cvs Pharmacy LLC | Pharmacy | 501 Elsinger Blvd, Conway, AR 72032-4717 | 2006-07-24 |
| 1225050008 | Arkansas Cvs Pharmacy LLC | Pharmacy | 3000 E Highland Dr Ste A, Jonesboro, AR 72401-6376 | 2006-07-24 |
| 1760951602 | Arkansas Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2501 Mccain Blvd, North Little Rock, AR 72116-7606 | 2018-11-21 |
| Street Address |
101 E MAIN ST |
| City | RUSSELLVILLE |
| State | AR |
| Zip Code | 72801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962002782 | Randy Paul Stayton | Pharmacist | 2109 W Main, Russellville, AR 72801 | 2020-10-30 |
| 1871134825 | Just Spreading Love Senior Care LLC | Student in an Organized Health Care Education/Training Program | 1411 N. Pittsburg Avenue, Russellville, AR 72801 | 2019-10-01 |
| 1124670369 | Richard L Morgan Dds Pa | Dentist | 1700 West C Place, Russellville, AR 72801 | 2019-07-09 |
| 1407342371 | Andrew James Hickman | Optometrist | 2711 E Parkway Drive, Russellville, AR 72801 | 2018-07-03 |
| 1154859833 | Felicia Head | Speech-Language Pathologist | 220 W 10th St., Russellville, AR 72801 | 2017-05-25 |
| 1295281293 | Arkansas Liver and Gastroenterology, P.a. | Internal Medicine | 1605 West Main Street, Russellville, AR 72801 | 2016-08-30 |
| 1467802405 | Kah Development 4, LLC | Hospice Care, Community Based | 3801 W Main St Ste A, Russellville, AR 72801 | 2016-06-21 |
| 1871904839 | Sleep Partners, LLC | Clinic/Center | 1310 West B Street, Suite A, Russellville, AR 72801 | 2014-05-13 |
| 1942647029 | Rpi Sleep Complete LLC | Clinic/Center | 1310 West Main Street, Suite 201, Russellville, AR 72801 | 2013-05-29 |
| 1184967291 | Amedco Arkansas Pllc | Optometrist | 302 N. Phoenix Ave., Clark Eye Clinic, Russellville, AR 72801 | 2013-03-27 |
| Find all providers in zip 72801 | ||||
| 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 |
|---|---|---|---|---|
| 1952625964 | Family Pharmacy of Littleville Inc | Pharmacy | 1369b George Wallace Hwy, Russellville, AL 35654-3281 | 2010-03-19 |
| 1770655565 | Harris Prescription Inc | Pharmacy | 432 Hopkinsville Rd, Russellville, KY 42276-1284 | 2006-11-15 |
| 1174554281 | Kmart Operations LLC | Pharmacy | 2821 E Main St, Russellville, AR 72802-9662 | 2006-07-06 |
| 1609270842 | Valley Healthcare | Pharmacy | 14001 Highway 43, Ste 13, Russellville, AL 35653-2848 | 2014-10-17 |
| 1740615491 | Yates Pharmacy LLC | Pharmacy | 432 Hopkinsville Rd, Russellville, KY 42276-1284 | 2013-09-12 |
| 1336493600 | East End Pharmacy Inc | Pharmacy | 5630 E Andrew Johnson Hwy, Russellville, TN 37860-9416 | 2012-11-07 |
| 1134454150 | Shoals Family Pharmacy Group Inc | Pharmacy | 455 Underwood Rd, Russellville, AL 35653-4111 | 2009-10-08 |
| 1437358751 | Shoals Family Pharmacy Group Inc | Pharmacy | 609 Gandy St Ne, Russellville, AL 35653-1911 | 2007-07-16 |
| 1366474397 | Freds Stores of Tennessee Inc | Pharmacy | 13150 Highway 43, Russellville, AL 35653-4558 | 2006-07-07 |
| 1053343087 | Freds Stores of Tennessee Inc | Pharmacy | 3303 W Main Pl, Skyline S/c Hwy 64, Russellville, AR 72801-2334 | 2006-07-07 |
| Find all providers in RUSSELLVILLE | ||||
| City | RUSSELLVILLE |
| Zip Code | 72801 |
Please comment or provide details below to improve the information on ARKANSAS CVS 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.