CALDWELL DISCOUNT DRUG (NPI# 1295078178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295078178 |
| Entity Type | Organization |
| Organization Name | CALDWELL DISCOUNT DRUG |
| Practice Address |
804 Falls Blvd S Wynne AR 72396-3505 |
| Practice Telephone | 8702387085 |
| Practice Fax Number | 8702388937 |
| Mailing Telephone | 8702387085 |
| Mailing Fax Number | 8702388937 |
| Enumeration Date | 2013-03-29 |
| Last Update Date | 2013-03-29 |
| Authorized Official Name | MAX CALDWELL (OWNER/PHARMACIST) |
| Authorized Official Telephone | 8702387085 |
| Authorized Official Credential | PHARMACIST |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174N00000X | Lactation Consultant, Non-RN | 42975 | MA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | ACADEMY OF LACATATION POLICY AND PRACTICE | 42975 | 01 |
| Street Address |
804 FALLS BLVD S |
| City | WYNNE |
| State | AR |
| Zip Code | 72396-3505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992703243 | Caldwell Discount Drug Co., Inc. | Pharmacy | 804 Falls Blvd S, Wynne, AR 72396-3505 | 2005-07-11 |
| 1588272942 | James Connor Reed | Pharmacist | 804 Falls Blvd S, Wynne, AR 72396-3505 | 2020-07-21 |
| 1750806220 | Jasmine Marie Tagupa Lorick | Pharmacist | 804 Falls Blvd S, Wynne, AR 72396-3505 | 2017-08-07 |
| 1609321306 | Nora Martin | Pharmacist | 804 Falls Blvd S, Wynne, AR 72396-3505 | 2016-08-23 |
| 1447690383 | Crystal Leigh Cathey | Lactation Consultant, Non-RN | 804 Falls Blvd S, Wynne, AR 72396-3505 | 2013-06-25 |
| 1013353366 | Lauren Rebecca Roach | Pharmacist | 804 Falls Blvd S, Wynne, AR 72396-3505 | 2013-05-14 |
| 1306280771 | Caldwell Discount Drug Co Inc | Pharmacy | 804 Falls Blvd S, Wynne, AR 72396-3505 | 2013-04-29 |
| 1538443551 | Max A Caldwell | Pharmacist | 804 Falls Blvd S, Wynne, AR 72396-3505 | 2011-10-10 |
| 1417270034 | Sara Massey | Pharmacist | 804 Falls Blvd S, Wynne, AR 72396-3505 | 2010-03-10 |
| 1700068129 | Lisa G Blanton | Pharmacist | 804 Falls Blvd S, Wynne, AR 72396-3505 | 2007-11-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962918813 | David Makool | Occupational Therapy Assistant | 2000 Gogbill Road, Wynne, AR 72396 | 2017-12-14 |
| 1912425554 | Barbara Ann Burgess | Case Manager/Care Coordinator | 661 Addison, Wynne, AR 72396 | 2017-09-05 |
| 1518481308 | Tyler Leigh Shumard | Physical Therapy Assistant | 128 County Road 145, Wynne, AR 72396 | 2017-08-02 |
| 1588957476 | Northeast Arkansas Community Mental Health Center | Counselor | 661 Addison Dr., Wynne, AR 72396 | 2011-05-25 |
| 1417106493 | Katherine Danielle Calhoun | Dietitian, Registered | 1013 Bridges Ave East, Wynne, AR 72396 | 2008-09-15 |
| 1053531319 | George Scott Puryear, Dds, Pa | Dentist | 715 East Eldrdige Avenue, Wynne, AR 72396 | 2007-04-27 |
| 1730245465 | Marilyn J Cullum | Counselor | 1742 Falls Blvd. Suite 5, The Logan Center, Wynne, AR 72396 | 2006-12-28 |
| 1770655185 | Robert Walton Bassham | Dentist | 669 Addison Drive, Wynne, AR 72396 | 2006-11-14 |
| 1073683827 | George Scott Puryear Jr. | Dentist | 715 E. Eldridge Ave, Wynne, AR 72396 | 2006-11-09 |
| 1194809517 | Richard Keeter Toland | Dentist | 2100 North Killough, Wynne, AR 72396 | 2006-10-24 |
| Find all providers in zip 72396 | ||||
| Taxonomy Code | 174N00000X |
| Grouping | Other Service Providers |
| Classification | Lactation Consultant, Non-RN |
| An individual trained to provide breastfeeding assistance services to both mothers and infants. Lactation Consultants are not required to be nurses and are trained through specific courses of education. The Lactation Consultant may have additional certification through a national or international organization. |
| Notes: Source: National Uniform Claim Committee [1/1/2011: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447690383 | Crystal Leigh Cathey | Lactation Consultant, Non-RN | 804 Falls Blvd S, Wynne, AR 72396-3505 | 2013-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528675238 | Arkansas Lactation | Lactation Consultant, Non-RN | 6035 W Transit St, Fayetteville, AR 72704-5097 | 2020-09-26 |
| 1427616663 | Holly Kathryn Best Parker | Lactation Consultant, Non-RN | 189 Sheridan Rd, N Little Rock, AR 72116-9316 | 2019-06-03 |
| 1215408471 | Michelle R Mansker | Lactation Consultant, Non-RN | 2504 Parkcrest Dr, Bentonville, AR 72712-5313 | 2018-12-16 |
| 1558847368 | Katie Jean Atkins | Lactation Consultant, Non-RN | 2988 N Quail Creek Dr, Fayetteville, AR 72703-3983 | 2018-07-15 |
| 1790291102 | Olivia L Jones | Lactation Consultant, Non-RN | 6844 Saddlebrook Loop, Everton, AR 72633-8232 | 2017-12-20 |
| 1568982817 | Tanya Smith | Lactation Consultant, Non-RN | 6385 Walnut Cv, Benton, AR 72019-1511 | 2017-06-27 |
| 1922556737 | Millie Goins | Lactation Consultant, Non-RN | 485 Hannah Dr, Conway, AR 72034-7267 | 2016-09-21 |
| 1093174468 | Kesha Maria Chiappinelli | Lactation Consultant, Non-RN | 1301 Louisiana St Apt 106, Little Rock, AR 72202-4966 | 2016-02-15 |
| 1114303914 | Jennifer Bradley | Lactation Consultant, Non-RN | 136 Corbin Cir, Cabot, AR 72023-7733 | 2015-08-04 |
| 1902201866 | Heather Shipley | Lactation Consultant, Non-RN | 471 Carothers Ln, Russellville, AR 72802-8230 | 2014-11-04 |
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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.