PERRY COUNTY FOOD & DRUG (NPI# 1184753899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184753899 |
| Entity Type | Organization |
| Organization Name | PERRY COUNTY FOOD & DRUG |
| Practice Address |
112 Houston Avenue Perryville AR 72126 |
| Mailing Address |
Po Box 327 112 Houston Avenue Perryville AR 72126 |
| Practice Telephone | 5018893399 |
| Practice Fax Number | 5018892878 |
| Mailing Telephone | 5018893399 |
| Mailing Fax Number | 5018892878 |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. TRACY WALLACE SWAIM (PHARMACIST IN CHARGE) |
| Authorized Official Telephone | 5018895826 |
| Authorized Official Credential | PD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 0413132 | AR | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | DEA | AP2331851 | 01 |
| Street Address |
112 HOUSTON AVENUE |
| City | PERRYVILLE |
| State | AR |
| Zip Code | 72126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447896774 | Counseling Associates, Inc. | Clinic/Center | 206 West Main, Perryville, AR 72126 | 2019-11-21 |
| 1124539648 | Access Medical Clinic Arkansas LLC | Clinic/Center | 1016 North Fourche Avenue, Perryville, AR 72126 | 2017-10-24 |
| 1730567496 | Amy Hunt | Licensed Practical Nurse | 235 Deberrie Rd, Perryville, AR 72126 | 2015-05-14 |
| 1467672162 | Perry County Day Service Center, Inc. | Intermediate Care Facility, Mentally Retarded | 115 South Pine Street, Perryville, AR 72126 | 2007-04-26 |
| 1609882497 | Melissa Dian Seme | Family Medicine | 313 W. Main Street, Perryville, AR 72126 | 2006-07-31 |
| 1396734000 | Perry County Care Center Inc | Skilled Nursing Facility | 1321 Scenic Drive, Perryville, AR 72126 | 2005-10-14 |
| 1285257105 | City of Perryville | Emergency Medicine | 512 6th St, Perryville, AR 72126 | 2020-05-27 |
| 1821418922 | Liberty Ems Service LLC | Ambulance | 157 Houston Ave, Perryville, AR 72126 | 2014-04-16 |
| 1841595386 | Holly N Griffis | Nurse Practitioner | 518 N Fourche Ave, Perryville, AR 72126 | 2011-01-13 |
| 1194883355 | Benjamin Carroll Hyatt Jr. | General Practice | 1115 Aplin Avenue, Perryville, AR 72126-0265 | 2006-12-04 |
| Find all providers in zip 72126 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770669798 | Hoai An Truong | Pharmacist | 5319 Pulaski Highway, Perryville, MD 21903 | 2006-10-31 |
| 1265033393 | Kerri Urhahn | Pharmacist | 1750 S Perryville Blvd, Perryville, MO 63775-6156 | 2020-11-04 |
| 1164894556 | Mary Williams | Pharmacist | 5319 Pulaski Hwy, Perryville, MD 21903-2606 | 2015-10-23 |
| 1760811566 | Shannan Marie Young | Pharmacist | 5319 Pulaski Hwy, Perryville, MD 21903-2606 | 2013-11-02 |
| 1821438508 | Shannon Elizabeth Bulla | Pharmacist | 212 Hospital Ln, Perryville, MO 63775-1224 | 2013-06-26 |
| 1811240500 | Aubry Jane Tollenger | Pharmacist | 5319 Pulaski Hwy, Perryville, MD 21903-2606 | 2012-10-18 |
| 1356625313 | Ian R Ponen | Pharmacist | 5319 Pulaski Hwy, Perryville, MD 21903-2606 | 2011-10-07 |
| 1043594641 | Sheri Lynn Haupt | Pharmacist | 5319 Pulaski Hwy, Perryville, MD 21903-2606 | 2011-10-01 |
| 1306120092 | Danielle Landholt | Pharmacist | 6 S Perryville Blvd, Perryville, MO 63775-1267 | 2011-09-29 |
| 1689958357 | David Keith Zweigart II | Pharmacist | 6 S Perryville Blvd, Perryville, MO 63775-1267 | 2011-09-29 |
| Find all providers in PERRYVILLE | ||||
| City | PERRYVILLE |
| Zip Code | 72126 |
Please comment or provide details below to improve the information on PERRY COUNTY FOOD & DRUG.
| 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.