RAGAN REXALL DRUG (NPI# 1356450100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356450100 |
| Entity Type | Organization |
| Organization Name | RAGAN REXALL DRUG |
| Practice Address |
309 S Main Stuttgart AR 72160-4356 |
| Practice Telephone | 8706732741 |
| Practice Fax Number | 8706733016 |
| Mailing Telephone | 8706732741 |
| Mailing Fax Number | 8706733016 |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. R NORRIS RAGAN (PHARMACIST OWNER) |
| Authorized Official Telephone | 8706732741 |
| Authorized Official Credential | B S PHARMACY |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 156FX1800X |
Technician/Technologist Specialization: Optician |
L0239 | AR | Eye and Vision Services Providers |
| X | 183500000X | Pharmacist | PD05278 | AR | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NABP | 0406288 | 01 |
| Street Address |
309 S MAIN |
| City | STUTTGART |
| State | AR |
| Zip Code | 72160-4356 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205325842 | Chiquita K. Holt Counseling | Counselor | 201 East 16th Street, (s.a.a.), Stuttgart, AR 72160 | 2018-05-09 |
| 1417409343 | Loura Flowers | Nursing Care | 2204 S Timber Street, Stuttgart, AR 72160 | 2016-10-26 |
| 1558730648 | Marathon Health, Inc. | Nurse Practitioner | 512 W Lennox Road, C/o Lennox Employee Health Center, Stuttgart, AR 72160 | 2015-09-18 |
| 1346679388 | Stephanie Patyk | Family Medicine | 1609 N Medical Drive, Stuttgart, AR 72160 | 2013-11-08 |
| 1386964708 | Kathryn M Morris | Nurse Practitioner | 1012 B East 22nd St, Stuttgart, AR 72160 | 2010-06-08 |
| 1457565400 | Professional Pharmacy | Pharmacy | 1515 N. Medical Drive, Stuttgart, AR 72160 | 2007-05-09 |
| 1770626244 | Terry Judson Smith | Pharmacist | 1515 N. Medical Dr., Stuttgart, AR 72160 | 2007-02-15 |
| 1497770242 | Grand Prairie Physical Therapy of Stuttgart, Inc. | Clinic/Center | 2105 S Main St, Stuttgart, AR 72160 | 2006-07-13 |
| 1083663041 | Janis W Hillman | Social Worker | 121 Commercial Drive B, Stuttgart, AR 72160 | 2006-05-08 |
| 1811973779 | George M Dunn Jr. | Optometrist | 310 West 22nd Street, Stuttgart, AR 72160 | 2005-12-21 |
| Find all providers in zip 72160 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790223006 | Sam's West, Inc. | Technician/Technologist | 1517 Gene George Blvd, Springdale, AR 72762 | 2017-02-07 |
| 1639620099 | Sam's West, Inc. | Technician/Technologist | 1250 South Amity Rd, Conway, AR 72032 | 2016-10-20 |
| 1063837847 | Rick Rakotz | Technician/Technologist | 1400 N Devils Den Rd, Winslow, AR 72959-2605 | 2014-03-03 |
| 1841636206 | National Vision Optical | Technician/Technologist | Bldg 787 6th St., Little Rock, AR 72099 | 2013-05-13 |
| 1922355585 | Crystal Vision, Inc | Technician/Technologist | 2935 Lakewood Village Dr, North Little Rock, AR 72116-8033 | 2012-08-13 |
| 1336447887 | Steven Wayne Slane I | Technician/Technologist | 1001 W Walnut St Ste 6, Rogers, AR 72756-3525 | 2011-03-08 |
| 1053643817 | Mickey Lee Drake I | Technician/Technologist | 111 Ponderosa Ln, Suite H, Hot Springs Village, AR 71909-5018 | 2010-02-04 |
| 1235378589 | Zoella Kay Rogers | Technician/Technologist | 5111 Rogers Ave Ste 120p, Fort Smith, AR 72903-2033 | 2009-02-10 |
| 1609012053 | Lonnie E. Burrow | Technician/Technologist | 5909 R St, Little Rock, AR 72207-4417 | 2009-01-06 |
| 1346401650 | Traci L Wyatt | Technician/Technologist | 104 W Colt Square Dr, Suite 2, Fayetteville, AR 72703-2834 | 2008-06-19 |
| 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.