MARKET STREET PHARMACY (NPI# 1407842404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407842404 |
| Entity Type | Organization |
| Organization Name | MARKET STREET PHARMACY |
| Other Organization Name | HORSESHOE BEND'S MARKET PHARMACY |
| Practice Address |
404 Market St Horseshoe Bend AR 72512-3871 |
| Practice Telephone | 8706705098 |
| Practice Fax Number | 8706705905 |
| Mailing Telephone | 8706705098 |
| Mailing Fax Number | 8706705905 |
| Enumeration Date | 2005-09-25 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. STEVEN JEFF MONTGOMERY (PHARMACIST) |
| Authorized Official Telephone | 8706705098 |
| Authorized Official Credential | P.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | AR-16253 | AR | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | D.E.A. LISCNESE | BM2051821 | 01 |
| AR | ARKANSAS PHARMACY LISCENS | AR-16253 | 01 |
| AR | N.A.B.P. NUMBER | 0416253 | 01 |
| Other Name | Type Code |
|---|---|
| HORSESHOE BEND'S MARKET PHARMACY | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750413829 | Market Street Pharmacy | Pharmacy Technician | 1723 Nw Market St, Seattle, WA 98107-5225 | 2007-03-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Market Street Pharmacy Inc. | 317 Market St, Po Box 38, New Castle, Virginia 24127 |
| Street Address |
404 MARKET ST |
| City | HORSESHOE BEND |
| State | AR |
| Zip Code | 72512-3871 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477650216 | C and M LLC | Durable Medical Equipment & Medical Supplies | 404 Market St, Horseshoe Bend, AR 72512-3871 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578837035 | Byron Boyd Henley Jr. | Pharmacist | 404 Market Street, Horseshoe Bend, AR 72512 | 2012-03-01 |
| 1124508908 | Julie Ann Keefer | Nurse Practitioner | 805 Third St, Horseshoe Bend, AR 72512 | 2018-08-21 |
| 1982716296 | Sharyn L Rohder | Nurse Practitioner | 301 South Main Street, Cave City, AR 72512 | 2006-08-31 |
| 1932212198 | E&f Fowler Inc | Durable Medical Equipment & Medical Supplies | 600 Market St, Horseshoe Bend, AR 72512 | 2006-08-15 |
| 1538578372 | Shawna Solimine | Day Training/Habilitation Specialist | 1405 W Cardinal Dr, Horseshoe Bend, AR 72512-1441 | 2014-08-06 |
| 1184880098 | Laura Kimberly Gaskins | Occupational Therapy Assistant | 703 Birdie Dr, Horseshoe Bend, AR 72512-2864 | 2008-07-30 |
| 1518232289 | Tyleigh Dodge | Day Training/Habilitation Specialist | 1304 Nashville Rd, Horseshoe Bend, AR 72512-3110 | 2012-03-14 |
| 1093110355 | Allison Polston | Day Training/Habilitation Specialist | 500 Red Oak Ln, Horseshoe Bend, AR 72512-3707 | 2014-10-29 |
| 1023495025 | Sheri Callaway | Day Training/Habilitation Specialist | 306 E Church St, Horseshoe Bend, AR 72512-3718 | 2015-04-29 |
| 1255414132 | White River Health System | Custodial Care Facility | 1203 S Bend Dr, Horseshoe Bend, AR 72512-3727 | 2006-10-23 |
| Find all providers in zip 72512 | ||||
| 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 |
|---|---|---|---|---|
| 1568851384 | E&f Fowler Inc | Pharmacy | 600 Market St, Horseshoe Bend, AR 72512-3876 | 2015-01-16 |
| 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 | ||||
| City | HORSESHOE BEND |
| Zip Code | 72512 |
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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.