PROFESSIONAL DRIVERS MEDICAL DEPOTS (NPI# 1205038585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205038585 |
| Entity Type | Organization |
| Organization Name | PROFESSIONAL DRIVERS MEDICAL DEPOTS |
| Practice Address |
3902 Petro Road I-40, Exit 280 West Memphis AR 72301 |
| Mailing Address |
3902 Petro Road West Memphis AR 72301 |
| Practice Telephone | 6156618929 |
| Practice Fax Number | 6156618977 |
| Mailing Telephone | 6156618929 |
| Mailing Fax Number | 6156618977 |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. COLLEEN ADAMS (BILLING MANAGER) |
| Authorized Official Telephone | 6156618929 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | AR | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043432511 | Professional Drivers Medical Depots | Clinic/Center | 13060 Palestine Lane, Knoxville, TN 37934 | 2007-05-03 |
| Street Address |
3902 PETRO ROAD I-40, EXIT 280 |
| City | WEST MEMPHIS |
| State | AR |
| Zip Code | 72301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235755497 | Shannon Mcelroy | Pharmacist | 300 I-40 Service Rd, West Memphis, AR 72301 | 2020-06-23 |
| 1891319745 | Heather Nichole Fesperman | Nurse Practitioner | 420 W Cooper Ave, West Memphis, AR 72301 | 2020-06-05 |
| 1174161475 | Mary Williams | Pharmacist | 300 I-40 Service Road, West Memphis, AR 72301 | 2019-12-17 |
| 1336787035 | Yolanda Monique Fulton | Assisted Living Facility | 711 Purduve Ave, West Memphis, AR 72301 | 2019-12-13 |
| 1255813317 | Urgent Care Travel, Inc | Clinic/Center | 3400 Service Loop 2, West Memphis, AR 72301 | 2018-09-05 |
| 1841770302 | Cuffie Healthcare LLC | Home Health | 403 Ingram Blvd, West Memphis, AR 72301 | 2018-08-15 |
| 1467940312 | Mark Aaron Whitlock | Dentist | 110 Dover Rd, West Memphis, AR 72301 | 2018-04-26 |
| 1043715329 | Crossroads Treatment Center of West Memphis, PC | Clinic/Center | 103 S Avalon St, West Memphis, AR 72301 | 2018-03-28 |
| 1114445202 | Deborah Thompson Ferguson | Dentist | 200 S Rhodes St Ste B, West Memphis, AR 72301 | 2017-09-08 |
| 1154745487 | Erin Camille Greer | Specialist/Technologist | 610 N. Missouri Street, Suite 1, West Memphis, AR 72301 | 2014-02-06 |
| Find all providers in zip 72301 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407966005 | Pediatric Associates of West Memphis, Pllc | Clinic/Center | 108 W Tyler, West Memphis, AR 72301-4221 | 2006-08-30 |
| 1750326021 | Crittenden Cares, Inc. | Clinic/Center | 308 S Rhodes St, West Memphis, AR 72301-4215 | 2006-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578176020 | Neaville Internal Medicine Pllc | Clinic/Center | 3000 Jennings Ln Ste H, Batesville, AR 72501-7255 | 2020-08-25 |
| 1508488255 | Skinner Family Dentistry | Clinic/Center | 312 E Kiehl Ave, Sherwood, AR 72120-2922 | 2020-05-15 |
| 1629602008 | Rose Counseling and Consulting Pllc | Clinic/Center | 204 Executive Ct Ste 101, Little Rock, AR 72205-4542 | 2020-02-25 |
| 1003450230 | Raising The Standards of Care LLC | Clinic/Center | 361 Southwest Dr Ste 771, Jonesboro, AR 72401-5854 | 2019-10-31 |
| 1497397897 | Way To Grow LLC | Clinic/Center | 307 Rockwell St, Hot Springs, AR 71913-6013 | 2019-10-17 |
| 1144876418 | Arkmed Healthcare Associates, Pllc | Clinic/Center | 3906 Lakeview Rd, North Little Rock, AR 72116-7305 | 2019-08-13 |
| 1508411422 | Sbs Investments LLC | Clinic/Center | 3114 Fox Rd Ste D, Jonesboro, AR 72404-9577 | 2019-08-07 |
| 1093368623 | Taylored Therapies, Pllc | Clinic/Center | 1004 Beau Terre Dr Ste 507, Bentonville, AR 72712-6799 | 2019-07-23 |
| 1811553555 | Diet of A Lifetime, LLC | Clinic/Center | 123 S Pine St, Pine Bluff, AR 71601-4222 | 2019-05-17 |
| 1043777436 | Amethyst Chiropractic | Clinic/Center | 1100 Mallard Pl Ste A, Bentonville, AR 72712-6850 | 2019-02-21 |
| Find all providers with the same taxonomy | ||||
| City | WEST MEMPHIS |
| Zip Code | 72301 |
Please comment or provide details below to improve the information on PROFESSIONAL DRIVERS MEDICAL DEPOTS.
| 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.