COLLIER DRUG STORES, INC. (NPI# 1275528069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275528069 |
| Entity Type | Organization |
| Organization Name | COLLIER DRUG STORES, INC. |
| Other Organization Name | COLLIER DRUG-CENTERTON |
| Practice Address |
991 W Centerton Blvd Centerton AR 72719-8707 |
| Mailing Address |
Po Box 1085 Fayetteville AR 72702 |
| Practice Telephone | 4797958199 |
| Practice Fax Number | 4797958196 |
| Mailing Telephone | 4794426262 |
| Mailing Fax Number | 4795219111 |
| Enumeration Date | 2005-09-17 |
| Last Update Date | 2017-07-14 |
| Authorized Official Name | MRS. MARCI JEAN GIES (CEO) |
| Authorized Official Telephone | 4799354303 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 148779407 | 05 |
| Other Name | Type Code |
|---|---|
| Collier Drug-Centerton | Doing Business As Name - Organization |
| Street Address |
991 W CENTERTON BLVD |
| City | CENTERTON |
| State | AR |
| Zip Code | 72719-8707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386708733 | Larry Eugene Talley | Pharmacist | 991 W Centerton Blvd, Centerton, AR 72719-8707 | 2006-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669086724 | Epic Smiles Pllc | Dentist | 310 E Centerton Blvd, Centerton, AR 72719 | 2020-09-04 |
| 1134733876 | Bradley R Crossfield Dds Pllc | Clinic/Center | 880 East Centerton Blvd, Suite A, Centerton, AR 72719 | 2020-09-01 |
| 1861967291 | Apexnetwork Arkansas, LLC | Physical Therapist | 1128 E. Centerton Blvd, Centerton, AR 72719 | 2018-10-12 |
| 1568975761 | Reeves Medical Associates, Pllc | Internal Medicine | 1415 E Centerton Blvd, Centerton, AR 72719 | 2017-11-09 |
| 1164948246 | Jodie A Bone | Behavioral Analyst | 450 Walker Street, Centerton, AR 72719 | 2017-08-21 |
| 1225581606 | Andrew Jason Phipps | Dentist | 807 West Centerton Blvd, Centerton, AR 72719 | 2016-08-02 |
| 1922429158 | Chelsea Kinney | Speech-Language Pathologist | 427 Centerton Blvd, Centerton, AR 72719 | 2013-12-13 |
| 1467707166 | Stacey Kirk | Case Manager/Care Coordinator | 250 East Centerton Blvd., Centerton, AR 72719 | 2012-07-18 |
| 1295994457 | Tracie Leanne Downey | Occupational Therapist | 675 Brimwood Street, Centerton, AR 72719 | 2008-06-03 |
| 1124228382 | Carolyn R Reeves | Internal Medicine | 1415 E Centeron Blvd, Centeron, AR 72719 | 2007-07-24 |
| Find all providers in zip 72719 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| 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] |
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| 1598393605 | Highlands Oncology Group Pa | Pharmacy | 3901 Parkway Circle, Springdale, AR 72762 | 2020-04-01 |
| 1326674870 | Caraway Drug L.l.c | Pharmacy | 106 W. State Street, Caraway, AR 72419 | 2020-03-17 |
| 1104461532 | Pruett's Food, Inc. | Pharmacy | 101 W. Main, Lockesburg, AR 71846 | 2019-11-08 |
| 1760025274 | Holiday Island Pharmacy, LLC | Pharmacy | 2 Forest Park Dr Ste A, Holiday Island, AR 72631-9229 | 2019-10-28 |
| 1730722463 | Beebe Family Pharmacy, LLC | Pharmacy | 1701 W Dewitt Henry Dr, Beebe, AR 72012-2024 | 2019-10-25 |
| Find all providers with the same taxonomy | ||||
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| 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.