HOUSTON, DICKERSON, AND DICKERSON (NPI# 1598808859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1598808859 |
Entity Type | Organization |
Organization Name | HOUSTON, DICKERSON, AND DICKERSON |
Other Organization Name | HARVEST FOODS PHARMACY #3140 |
Practice Address |
502 S Crawford St Clarksville AR 72830-4006 |
Mailing Address |
Po Box 1336 Clarksville AR 72830-1336 |
Practice Telephone | 4797058407 |
Practice Fax Number | 4797051027 |
Mailing Telephone | 4797058407 |
Mailing Fax Number | 4797051027 |
Enumeration Date | 2007-02-15 |
Last Update Date | 2010-07-02 |
Authorized Official Name | MR. BILLY DICKERSON (PRESIDENT) |
Authorized Official Telephone | 4797058906 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
AR20210 | AR | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AR | NABP OR NCPDP | 0420935 | 01 |
AR | DEA NUMBER | BH6685145 | 01 |
AR | 139366407 | 05 | |
AR | PHARMACY LICENSE NUMBER | AR20210 | 01 |
Other Name | Type Code |
---|---|
harvest foods pharmacy #3140 | Doing Business As Name - Organization |
Street Address |
502 S CRAWFORD ST |
City | CLARKSVILLE |
State | AR |
Zip Code | 72830-4006 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649737545 | Marilyn Elaine Laster | Pharmacist | 211 East Main St, Clarksville, AR 72830 | 2019-02-27 |
1083186431 | Kayla Chinchilla | Counselor | 106 Cherokee Lane, Clarksville, AR 72830 | 2018-12-26 |
1669995619 | Karla D Snow | Case Manager/Care Coordinator | 718 Brown Street, Clarksville, AR 72830 | 2017-07-21 |
1811426232 | Netscript Telemedicine Solutions | Family Medicine | 235 Cr 3520, Clarksville, AR 72830 | 2017-06-08 |
1275882060 | Shay Morgan | Dietitian, Registered | 1100 East Poplar Street, Clarksville, AR 72830 | 2012-09-07 |
1518111566 | Melisa Leann Traylor | Case Manager/Care Coordinator | 522 Mill Road, Clarksville, AR 72830 | 2008-11-04 |
1669635280 | Family Foot Clinic | Podiatrist | 203 Sevier St, Clarksville, AR 72830 | 2008-07-03 |
1891969721 | Scott Lee Landis | Counselor | 522 Mills Rd., Clarksville, Ar, AR 72830 | 2008-04-22 |
1437364684 | Snider Family Chiropractic Clinic | Chiropractor | 1012 Poplar St., Clarksville, AR 72830 | 2007-05-11 |
1376765917 | Jones Speech Therapy | Speech-Language Pathologist | 1312 North Harmony Road, Clarksville, AR 72830 | 2007-05-03 |
Find all providers in zip 72830 |
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 |
---|---|---|---|---|
1457981813 | Zoren Pharmacy & Gifts LLC | Pharmacy | 588 Fire Station Rd, Clarksville, TN 37043-4085 | 2020-01-23 |
1699247783 | Hilltop Pharmacy, LLC | Pharmacy | 400 Highway 149, Clarksville, TN 37040-7237 | 2018-12-29 |
1215426150 | Caresourcerx LLC | Pharmacy | 1849d Madison St, Clarksville, TN 37043-4903 | 2018-05-07 |
1972736320 | Zaver Pharmaceuticals Inc. | Pharmacy | 226-c Dover Road, Clarksville, TN 37042-4155 | 2009-09-02 |
1043395270 | Cvs Pharmacy Inc | Pharmacy | 1909 W Broadway St, Clarksville, TX 75426-2010 | 2006-10-26 |
1740295856 | Walgreen Co | Pharmacy | 220 E Lewis and Clark Pkwy, Clarksville, IN 47129-1724 | 2006-07-29 |
1891358818 | Clarksville Pharmacy LLC | Pharmacy | 1312 W Main St, Clarksville, TX 75426-3525 | 2019-04-16 |
1700302981 | Walgreen Co | Pharmacy | 1493 Madison St, Clarksville, TN 37040-3845 | 2017-08-18 |
1457709024 | Rite Aid | Pharmacy | 1128 Fort Campbell Blvd, Clarksville, TN 37042-6450 | 2016-05-24 |
1861898512 | Centerstone Pharmacy | Pharmacy | 511 8th St, Clarksville, TN 37040-3093 | 2014-11-07 |
Find all providers in CLARKSVILLE |
City | CLARKSVILLE |
Zip Code | 72830 |
Please comment or provide details below to improve the information on HOUSTON, DICKERSON, AND DICKERSON.
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.