M-C DRUG STORE LLC (NPI# 1285649806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285649806 |
| Entity Type | Organization |
| Organization Name | M-C DRUG STORE LLC |
| Other Organization Name | M C DRUG STORE LLC |
| Practice Address |
533 Porter St Helena AR 72342-3217 |
| Mailing Address |
Po Box 574 Helena AR 72342-0574 |
| Practice Telephone | 8703383414 |
| Practice Fax Number | 8703383415 |
| Mailing Telephone | 8703383414 |
| Mailing Fax Number | 8703383415 |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2018-07-19 |
| Authorized Official Name | SHELBY MONTGOMERY (PARTNER) |
| Authorized Official Telephone | 8703383414 |
| Authorized Official Credential | PD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | AR03369 | AR | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 160024407 | 05 | |
| PK | 1992975 | 01 |
| Other Name | Type Code |
|---|---|
| M C DRUG STORE LLC | Doing Business As Name - Organization |
| Street Address |
533 PORTER ST |
| City | HELENA |
| State | AR |
| Zip Code | 72342-3217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992342968 | Jamie R Lee | Case Manager/Care Coordinator | 211 Missouri Street, Helena, AR 72342 | 2019-12-09 |
| 1023249315 | Harland Courtney Moore | Physical Therapist | 1801 Martin Luther King Dr., Helena, AR 72342 | 2009-08-04 |
| 1740438316 | Laura Deitz | Speech-Language Pathologist | 1000 Campus Drive, Helena, AR 72342 | 2008-09-08 |
| 1396965026 | P.vasudevanmd,pllc | Urology | 1393 Highway 242 South, West Helena, AR 72342 | 2007-04-26 |
| 1316009723 | Browning Management Corp | Dentist | 663a Oakland Ave, Helena, AR 72342 | 2006-12-14 |
| 1427156660 | Robert Ian Campbell | Dentist | 408 Porter Street, Helena, AR 72342 | 2006-09-20 |
| 1003879362 | William R Frederick | Ophthalmology | 126 Hickory Hill Dr, Helena, AR 72342 | 2006-04-08 |
| 1841604295 | Michael Thomas | Case Manager/Care Coordinator | 801 Newman Dr, Helena, AR 72342 | 2014-06-13 |
| 1952745846 | Demetrius Lashay Austin | Case Manager/Care Coordinator | 211 Missouri, Helena, AR 72342 | 2013-04-22 |
| 1497903066 | Pam Pippenger | Speech-Language Pathologist | 1000 Campus Drive, Helena, AR 72342 | 2008-09-08 |
| Find all providers in zip 72342 | ||||
| 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] |
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| 1114011517 | Western Drug of Billings Inc | Pharmacy | 3065 N Montana Ave, Helena, MT 59601-0552 | 2006-10-03 |
| 1659303683 | Freds Stores of Tennessee Inc | Pharmacy | 124 8th St, Helena, GA 31037-9738 | 2006-07-07 |
| 1093701336 | Benzer Ar 1 LLC | Pharmacy | 300 Perry St, Helena, AR 72342-3325 | 2005-09-22 |
| 1639190689 | South Hills Pharmacy Inc | Pharmacy | 2600 Winne Ave, Helena, MT 59601-4900 | 2006-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679198212 | Rachel Hardke | Pharmacy | 14984 Highway 86 W, Hazen, AR 72064-8348 | 2020-06-09 |
| 1821612326 | Sheridan Family Pharmacy LLC | Pharmacy | 677 Heritage Drive, Sheridan, AR 72150-5000 | 2020-06-01 |
| 1235614421 | Greenbrier Pharmacy Inc | Pharmacy | 61a South Broadview St, Greenbrier, AR 72058 | 2018-10-03 |
| 1376048124 | Bono Family Pharmacy, LLC | Pharmacy | 10040 Highway 63 S Ste 4, Bono, AR 72416-8669 | 2018-03-26 |
| 1073014866 | East End Express Pharmacy Inc | Pharmacy | 21019 Highway 167, Suite 100, Hensley, AR 72065 | 2018-02-27 |
| 1326546524 | White River Pharmacy, LLC | Pharmacy | 7321 W Sunset Ave Ste G, Springdale, AR 72762-0990 | 2018-01-23 |
| 1013422179 | Ppg Store 6 LLC | Pharmacy | 2235 Dave Ward Dr Ste 108, Conway, AR 72034-7040 | 2017-12-11 |
| 1952814857 | Health-wise Pharmacy Pllc | Pharmacy | 47 S Hwy 71 Bypass, Waldron, AR 72958 | 2017-11-14 |
| 1598278806 | Genoa Healthcare, LLC | Pharmacy | 21 Bridgeway Rd Ste P, North Little Rock, AR 72113-9514 | 2017-11-08 |
| 1811414972 | Genoa Healthcare, LLC | Pharmacy | 715 N College Ave Ste P1, El Dorado, AR 71730-4403 | 2017-08-29 |
| 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.