CALDWELL DISCOUNT DRUG CO INC (NPI# 1306280771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306280771 |
| Entity Type | Organization |
| Organization Name | CALDWELL DISCOUNT DRUG CO INC |
| Practice Address |
804 Falls Blvd S Wynne AR 72396-3505 |
| Mailing Address |
Po Box 1084 Wynne AR 72396-1084 |
| Practice Telephone | 8702387085 |
| Practice Fax Number | 8702388937 |
| Mailing Telephone | 8702387085 |
| Mailing Fax Number | 8702388937 |
| Enumeration Date | 2013-04-29 |
| Last Update Date | 2013-04-29 |
| Authorized Official Name | MR. MAX A CALDWELL (PRESIDENT / OWNER) |
| Authorized Official Telephone | 8702387085 |
| Authorized Official Credential | P.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | CALDWELL DISCOUNT DRUG CO INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
AR14982 | AR | Suppliers |
| 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 |
| 1295078178 | Caldwell Discount Drug | Lactation Consultant, Non-RN | 804 Falls Blvd S, Wynne, AR 72396-3505 | 2013-03-29 |
| 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 | 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457332850 | Wynne Medical Pharmacy Inc | Pharmacy | 718 Falls Blvd S, Wynne, AR 72396-3514 | 2005-11-11 |
| 1982997524 | Wynne Medical Pharmacy of Cross County Inc | Pharmacy | 718 Falls Blvd S, Wynne, AR 72396-3514 | 2011-05-16 |
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| 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 |
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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.