SMITH CALDWELL LTC (NPI# 1225088990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225088990 |
| Entity Type | Organization |
| Organization Name | SMITH CALDWELL LTC |
| Other Organization Name | SMITH CALDWELL LTC |
| Practice Address |
403 N Market St Benton AR 72015-3736 |
| Mailing Address |
Po Box 2710 Benton AR 72018-2710 |
| Practice Telephone | 5013266153 |
| Practice Fax Number | 5013266156 |
| Mailing Telephone | 5013266153 |
| Mailing Fax Number | 5013266156 |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2014-03-19 |
| Authorized Official Name | HOLLY HODGES (MANAGER/OWNER) |
| Authorized Official Telephone | 5013157700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
AR20531 | AR | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 1989605 | 01 | |
| AR | 159960407 | 05 |
| Other Name | Type Code |
|---|---|
| SMITH CALDWELL LTC | Doing Business As Name - Organization |
| Street Address |
403 N MARKET ST |
| City | BENTON |
| State | AR |
| Zip Code | 72015-3736 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669907614 | Abby Whitaker | Pharmacist | 403 N Market St, Benton, AR 72015-3736 | 2017-04-27 |
| 1790137321 | Jill Fleming | Pharmacist | 403 N Market St, Benton, AR 72015-3736 | 2016-07-07 |
| 1396935284 | Julie Ann Durbin | Pharmacist | 403 N Market St, Benton, AR 72015-3736 | 2007-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790343135 | Justin King | Case Manager/Care Coordinator | 1502 Mary Kay Blv6, Benton, AR 72015 | 2019-05-31 |
| 1790253326 | Seth Alexander Weisheit | Nurse Practitioner | 824 Military Road, Benton, AR 72015 | 2018-11-13 |
| 1396269627 | Abby G Sims | Speech-Language Pathologist | 3391 Peachtree Lane, Benton, AR 72015 | 2017-07-28 |
| 1225551278 | Jessica R Poe | Case Manager/Care Coordinator | 1502 Marykay Blvd, Benton, AR 72015 | 2017-07-21 |
| 1003357997 | Jamaal Langston | Case Manager/Care Coordinator | 1502 Mark Kay Blvd, Benton, AR 72015 | 2017-03-13 |
| 1881138550 | Shannon Gachot-ridgley | Counselor | 205 South Street Suite 3, Benton, AR 72015 | 2016-12-14 |
| 1295104578 | Excel Health of Haskell, Pllc | Clinical Nurse Specialist | 6029 Us Hwy 67, Haskell, AR 72015 | 2015-09-17 |
| 1528464054 | Kacey Jo Kiker | Nurse Practitioner | 620 W South St, Benton, AR 72015 | 2014-11-11 |
| 1700218252 | Jamie Brunt | Licensed Practical Nurse | 1718 Old Hot Springs Rd, Benton, AR 72015 | 2013-08-07 |
| 1760738942 | Kari J Richards | Physical Therapist | 5701 Springhill Rd, Bryant, AR 72015 | 2012-07-25 |
| Find all providers in zip 72015 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| 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 |
|---|---|---|---|---|
| 1750399515 | West Side Pharmacy, Inc. | Pharmacy | 620 W South St Ste C, Benton, AR 72015-4235 | 2006-08-04 |
| 1477598795 | Pediatric Nutrition Prov of Ar | Pharmacy | 920 Edison Ave, Ste 9, Benton, AR 72015-4502 | 2006-06-19 |
| 1144870957 | West Side Pharmacy Inc. | Pharmacy | 620 W South St, Benton, AR 72015-4258 | 2019-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841841715 | Village Apothecary Inc | Pharmacy | 24615 Highway 5, Lonsdale, AR 72087-8017 | 2019-09-23 |
| 1104484971 | Austin Gilbreath | Pharmacy | 970d Ash Flat Dr, Ash Flat, AR 72513-9533 | 2019-06-05 |
| 1295291441 | Health Depot Pharmacies, LLC | Pharmacy | 1610 Fort St, Barling, AR 72923-2018 | 2019-02-13 |
| 1417458829 | Paragon Pharmacy, LLC | Pharmacy | 14524 Cantrell Rd Ste 100a, Little Rock, AR 72223-4700 | 2018-02-22 |
| 1619326881 | Wagner Drugs, Inc. | Pharmacy | 744 Hwy 270 East, Mount Ida, AR 71957 | 2016-06-08 |
| 1669826954 | Caeb Investments Inc. | Pharmacy | 11200 Arch Street, Little Rock, AR 72206 | 2016-04-22 |
| 1215349667 | Midsouth Medical Specialties, LLC | Pharmacy | 5500 Central Avenue, Hot Springs, AR 71913 | 2014-05-20 |
| 1942645569 | Warmack Pharmacies,inc. | Pharmacy | 300 Pine Street, Rison, AR 71665 | 2013-05-09 |
| 1588972418 | Allied Health Services LLC | Pharmacy | 600 N Main St Ste C, Melbourne, AR 72556-0769 | 2010-09-14 |
| 1457565400 | Professional Pharmacy | Pharmacy | 1515 N. Medical Drive, Stuttgart, AR 72160 | 2007-05-09 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SMITH CALDWELL LTC.
| 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.