ARKANSAS CVS PHARMACY LLC (NPI# 1316969199) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316969199 |
| Entity Type | Organization |
| Organization Name | ARKANSAS CVS PHARMACY LLC |
| Other Organization Name | CVS PHARMACY #17011 |
| Practice Address |
501 Elsinger Blvd Conway AR 72032-4717 |
| Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 5013285316 |
| Practice Fax Number | 5017643568 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2016-09-29 |
| Authorized Official Name | SUSAN COLBERT (SR. DIRECTOR, PAYER RELATIONS) |
| Authorized Official Telephone | 4017702751 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
AR20391 | AR | Suppliers |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 1989525 | 01 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy #17011 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548575814 | Arkansas Cvs Pharmacy LLC | Pharmacy | 420 S University Ave, Little Rock, AR 72205-5246 | 2010-08-11 |
| 1114164597 | Arkansas Cvs Pharmacy LLC | Pharmacy | 2404 S Promenade Blvd, Rogers, AR 72758-9080 | 2009-01-07 |
| 1306096615 | Arkansas Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 12700 Chenal Pkwy, Little Rock, AR 72211-3360 | 2008-09-23 |
| 1538317987 | Arkansas Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 4001 Phoenix Ave, Fort Smith, AR 72903-6099 | 2008-08-28 |
| 1417039884 | Arkansas Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 7377 Alcoa Rd, Bryant, AR 72022-6204 | 2006-10-19 |
| 1407878283 | Arkansas Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3545 N Shiloh Dr, Fayetteville, AR 72703-5359 | 2006-07-24 |
| 1225050008 | Arkansas Cvs Pharmacy LLC | Pharmacy | 3000 E Highland Dr Ste A, Jonesboro, AR 72401-6376 | 2006-07-24 |
| 1760951602 | Arkansas Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2501 Mccain Blvd, North Little Rock, AR 72116-7606 | 2018-11-21 |
| 1134617301 | Arkansas Cvs Pharmacy LLC | Pharmacy | 101 E Main St, Russellville, AR 72801 | 2018-04-24 |
| Street Address |
501 ELSINGER BLVD |
| City | CONWAY |
| State | AR |
| Zip Code | 72032-4717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275026189 | Matthew Clay Bartley | Pharmacist | 501 Elsinger Blvd, Conway, AR 72032-4717 | 2018-06-14 |
| 1679026736 | Ashley Ellis | Pharmacist | 501 Elsinger Blvd, Cvs Pharmacy, Conway, AR 72032-4717 | 2016-07-25 |
| 1649520016 | Lauren Beth Maune | Pharmacist | 501 Elsinger Blvd, Conway, AR 72032-4717 | 2012-09-13 |
| 1245526045 | Tina Michelle Erwin | Pharmacist | 501 Elsinger Blvd, Conway, AR 72032-4717 | 2011-06-21 |
| 1902191711 | Summer Hurtado | Pharmacist | 501 Elsinger Blvd, Target-1891, Conway, AR 72032-4717 | 2011-06-09 |
| 1538453311 | Sarah Elizabeth Bell | Pharmacist | 501 Elsinger Blvd, T-1891, Conway, AR 72032-4717 | 2011-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730789843 | Amelia S Lasater | Pharmacist | 1155 Hwy 65n, Conway, AR 72032 | 2020-10-28 |
| 1619584604 | Danyelle Durocher | Occupational Therapist | 1301 North Museum Rd, Conway, AR 72032 | 2020-09-24 |
| 1780222174 | Eric Herman Boxnick | Pharmacist | 101 West Oak Street, Conway, AR 72032 | 2019-12-16 |
| 1932746070 | Habilitation Center, LLC | Psychiatric Residential Treatment Facility | 161 Skunk Hollow Road, Conway, AR 72032 | 2019-12-09 |
| 1679051668 | Mary Elizabeth Black | Nurse Practitioner | 222 Dave Ward Drive, Conway, AR 72032 | 2018-08-01 |
| 1275035602 | Conway Dental Center Pllc | Dentist | 1600 E. Oak Street Suite B, Conway, AR 72032 | 2018-03-01 |
| 1750821625 | Luke Osborne | Physical Therapy Assistant | 1 Thomas Ln, Conway, AR 72032 | 2017-02-27 |
| 1639620099 | Sam's West, Inc. | Technician/Technologist | 1250 South Amity Rd, Conway, AR 72032 | 2016-10-20 |
| 1922559343 | Sam's West, Inc. | Durable Medical Equipment & Medical Supplies | 1250 Sourth Amity Rd, Conway, AR 72032 | 2016-10-20 |
| 1639629108 | Posture Store | Durable Medical Equipment & Medical Supplies | 3900 Dave Ward Dr., Suite 1900-130, Conway, AR 72032 | 2016-10-09 |
| Find all providers in zip 72032 | ||||
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013422179 | Ppg Store 6 LLC | Pharmacy | 2235 Dave Ward Dr Ste 108, Conway, AR 72034-7040 | 2017-12-11 |
| 1386095982 | Conway Medical Park Pharmacy | Pharmacy | 650 United Dr Ste 110, Conway, AR 72032-7000 | 2016-06-24 |
| 1821335845 | 3bg, Inc. | Pharmacy | 810 Amity Rd, Suite 101, Conway, AR 72032-5988 | 2013-01-10 |
| 1760682108 | S.c. Department of Health and Environmental Control | Pharmacy | 1931 Industrial Park Road, Conway, SC 29526 | 2007-07-24 |
| 1326072174 | Kroger Limited Partnership I | Pharmacy | 855 Salem Rd, Conway, AR 72034-4820 | 2006-07-10 |
| 1447282470 | Freds Stores of Tennessee Inc | Pharmacy | 245 East Oak Street, Conway, AR 72032 | 2006-07-07 |
| 1205876059 | Pharmacy Solutions Inc | Pharmacy | 2125 College Ave, Suite 2, Conway, AR 72034 | 2006-06-08 |
| 1306843016 | Baker Drug Company | Pharmacy | 924 Front St, Conway, AR 72032-4304 | 2005-07-07 |
| 1659916344 | Walmart Pharmacy | Pharmacy | 2709 Church St Ste A, Conway, SC 29526-4440 | 2019-11-17 |
| 1174969935 | S.c. Department of Health and Environmental Control | Pharmacy | 1931 Industrial Park Rd, Conway, SC 29526-5482 | 2013-05-20 |
| Find all providers in CONWAY | ||||
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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.