SUPERMARKET DEVELOPERS INC (NPI# 1346398344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1346398344 |
Entity Type | Organization |
Organization Name | SUPERMARKET DEVELOPERS INC |
Other Organization Name | FOSTERS PHARMACY |
Practice Address |
2203 N Reynolds Rd Bryant AR 72022-2533 |
Practice Telephone | 5018479067 |
Practice Fax Number | 5018476751 |
Enumeration Date | 2007-01-08 |
Last Update Date | 2020-08-22 |
Authorized Official Name | BRENDA MCCRADY (DIRECTOR OF PHARMACY) |
Authorized Official Telephone | 5015700007 |
Authorized Official Credential | BS PHARMACY |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 333600000X | Pharmacy | AR20285 | AR | Suppliers |
X | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OTHER ID NUMBER-COMMERCIAL NUMBER | 0421331 | 01 |
Other Name | Type Code |
---|---|
FOSTERS PHARMACY | Doing Business As Name - Organization |
Street Address |
2203 N REYNOLDS RD |
City | BRYANT |
State | AR |
Zip Code | 72022-2533 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194324392 | Benjamin Ramsey | Pharmacist | 2203 N Reynolds Rd, Bryant, AR 72022-2533 | 2020-10-20 |
1073141982 | Marsh Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2203 N Reynolds Rd, Bryant, AR 72022-2533 | 2020-03-28 |
1184074411 | Cornerstone Pharmacy Bryant LLC | Pharmacy | 2203 N Reynolds Rd, Bryant, AR 72022-2533 | 2016-06-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922608868 | Lindsay Paige Macphee | Behavior Technician | 22461-i-30 Frontage Road, Bryant, AR 72022 | 2020-10-29 |
1952913469 | Kaleigh Angleton | Pharmacist | 5500 Ar-5, Bryant, AR 72022 | 2020-08-18 |
1851937254 | Lonnell O Seamster Sr. | Nurse Practitioner | 501 Woody Drive, Alexander, AR 72022 | 2019-11-20 |
1366098998 | Hannah Marie London | Occupational Therapist | 350 School Drive, Bryant, AR 72022 | 2019-08-09 |
1356996987 | Micah Self | Occupational Therapy Assistant | 200 Nw 4th Street, Bryant, AR 72022 | 2019-08-09 |
1114437548 | Samantha Lee Davis | Behavioral Analyst | 22461 I-30 Frontage Rd, 1100b, Bryant, AR 72022 | 2017-10-12 |
1164962171 | Healthcare Express, LLP | Clinic/Center | 23150 I-30 N, Bryant, AR 72022 | 2017-02-24 |
1205283223 | V & S Xpress LLC | Non-emergency Medical Transport (VAN) | 719 Sedgefield, Bryant, AR 72022 | 2016-05-19 |
1467877969 | Arkansas Maxillofacial Surgery Center | Dentist | 411 Office Park Dr, Bryant, AR 72022 | 2014-02-20 |
1558614511 | Melissa Robertson | Audiologist | 501 Jack Stephens Dr #547-05, Little Rock, AR 72022 | 2012-10-16 |
Find all providers in zip 72022 |
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 |
---|---|---|---|---|
1811237316 | Martin and Tucker Investments Inc | Pharmacy | 3801 Highway 5 N, Bryant, AR 72022-9028 | 2013-02-20 |
1245228824 | Medic Pharmacy of Bryant, Inc. | Pharmacy | 101 Nw 3rd St, Suite A, Bryant, AR 72022-3442 | 2005-10-08 |
1184074411 | Cornerstone Pharmacy Bryant LLC | Pharmacy | 2203 N Reynolds Rd, Bryant, AR 72022-2533 | 2016-06-17 |
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.