TOWN AND COUNTRY GROCERS OF FREDERICKSTOWN MO INC (NPI# 1396811055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396811055 |
| Entity Type | Organization |
| Organization Name | TOWN AND COUNTRY GROCERS OF FREDERICKSTOWN MO INC |
| Other Organization Name | COUNTRY MART PHARMACY |
| Practice Address |
3106 Southwest Dr Jonesboro AR 72404-8404 |
| Practice Telephone | 8709332016 |
| Practice Fax Number | 8709332031 |
| Mailing Telephone | 8709332016 |
| Mailing Fax Number | 8709332031 |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2014-01-15 |
| Authorized Official Name | BOBBIE HUFFORD (CEO) |
| Authorized Official Telephone | 5737835703 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
AR20021 | AR | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 131300407 | 05 | |
| PK | 1988202 | 01 |
| Other Name | Type Code |
|---|---|
| COUNTRY MART PHARMACY | Doing Business As Name - Organization |
| Street Address |
3106 SOUTHWEST DR |
| City | JONESBORO |
| State | AR |
| Zip Code | 72404-8404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740745967 | Imove, LLC | Physical Therapist | 8700 S. Caraway Rd., Apt. L2, Jonesboro, AR 72404 | 2019-02-01 |
| 1245728914 | Karina Coats | Nurse Anesthetist, Certified Registered | 2409 Skyline Pt, Jonesboro, AR 72404 | 2018-04-27 |
| 1619325263 | Kathryn Meyers | Specialist/Technologist | 1614 Latourette Ln Apt 2, Jonesboro, AR 72404 | 2016-05-24 |
| 1922476571 | Tmj and Facial Pain Center,llc | Dentist | 2600 Browns Lane, Ste B, Jonesboro, AR 72404 | 2015-09-11 |
| 1265828156 | Hd Dental, Pa Dba Smile Dental | Dentist | 6009 Highway 1 South, Jonesboro, AR 72404 | 2015-04-08 |
| 1124445358 | Tanner Wilson Jarrett | Occupational Therapy Assistant | 3114 Fox Road Suite A, Jonesboro, AR 72404 | 2014-03-26 |
| 1154759793 | Kasey Boyd | Specialist/Technologist | 1717 Hwy 163, Jonesboro, AR 72404 | 2013-10-17 |
| 1578848610 | Maria Ivonne Norman | Physical Therapist | 8700 S. Caraway Rd. Apt. L2, (the Meadows), Jonesboro, AR 72404 | 2011-10-20 |
| 1003198839 | Rachel Hollimon Golden | Speech-Language Pathologist | 4410 Harrisburg Rd., Jonesboro, AR 72404 | 2011-09-19 |
| 1225358021 | Darrell R Gann | Physical Therapy Assistant | 6040 Beaver Creek, Jonesboro, AR 72404 | 2010-06-03 |
| Find all providers in zip 72404 | ||||
| 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 |
|---|---|---|---|---|
| 1376160747 | Reff Drugs Inc | Pharmacy | 1117 Battlecreek Rd Ste 860a, Jonesboro, GA 30236-2407 | 2020-07-01 |
| 1164986485 | Healthlink Pharmacy LLC | Pharmacy | 299 Flint River Rd, Jonesboro, GA 30238-4748 | 2019-01-31 |
| 1932612991 | Drugbuddies LLC | Pharmacy | 6457 Tara Blvd Ste 7, Jonesboro, GA 30236-1214 | 2017-11-13 |
| 1831536283 | West End Associates, Inc. | Pharmacy | 619 W Nettleton Ave, Jonesboro, AR 72401-3970 | 2013-05-24 |
| 1265786354 | Nea Pharmaceuticals | Pharmacy | 1109 W. Parker Road, Jonesboro, AR 72404-9583 | 2012-10-29 |
| 1952404618 | Georgia Cvs Pharmacy LLC | Pharmacy | 8139 Tara Blvd, Jonesboro, GA 30236-3142 | 2006-09-07 |
| 1225050008 | Arkansas Cvs Pharmacy LLC | Pharmacy | 3000 E Highland Dr Ste A, Jonesboro, AR 72401-6376 | 2006-07-24 |
| 1134141005 | Stone's Pharmacy Inc | Pharmacy | 417 E Matthews Ave, Jonesboro, AR 72401-3142 | 2006-07-23 |
| 1982198388 | Anovorx Group, LLC | Pharmacy | 406 E Washington Ave, Jonesboro, AR 72401-3108 | 2018-06-19 |
| 1336544584 | Wpm Community Pharmacies, LLC | Pharmacy | 1903 Grant Ave Ste Iandj, Jonesboro, AR 72401-6134 | 2014-10-30 |
| Find all providers in JONESBORO | ||||
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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.