GLENN DRUG INC (NPI# 1659431948) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659431948 |
| Entity Type | Organization |
| Organization Name | GLENN DRUG INC |
| Practice Address |
401 W Main St Heber Springs AR 72543-3018 |
| Practice Telephone | 5013622633 |
| Practice Fax Number | 5013624064 |
| Mailing Telephone | 5013622633 |
| Mailing Fax Number | 5013624064 |
| Enumeration Date | 2006-12-10 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. JOHN CLEVE HENDRICKS II (PHARMACIST OWNER) |
| Authorized Official Telephone | 5013622633 |
| Authorized Official Credential | PD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
0420265 | AR | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | DEA NUMBER | BG7242934 | 01 |
| Street Address |
401 W MAIN ST |
| City | HEBER SPRINGS |
| State | AR |
| Zip Code | 72543-3018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871122457 | Tracy Elizabeth Carroll | Nurse Practitioner | 1004 Trailwood Dr, Heber Springs, AR 72543 | 2020-04-06 |
| 1972099224 | Billie Ann Gay | Registered Nurse | Baptist Health 1800 Bypass Rd, Heber Springs, AR 72543 | 2018-07-10 |
| 1538558697 | Pine Snag Lobo Fire Association | Ambulance | 1855 Pangburn Rd, Heber Springs, AR 72543 | 2015-01-13 |
| 1447656129 | W.p. Malone, Inc. | Pharmacy | 600 W. Main Street, Heber Springs, AR 72543 | 2014-11-07 |
| 1134524630 | Christa Chambers | Pharmacist | 600 W Main Street, Heber Springs, AR 72543 | 2014-10-27 |
| 1831504729 | Josh Redinger | Pharmacist | 1500 Hwy 25b N, Heber Springs, AR 72543 | 2014-06-30 |
| 1376981381 | Karen Ann Krug | Speech-Language Pathologist | 110 Case Ford Rd. Suite A, Heber Springs, AR 72543 | 2013-06-12 |
| 1063701357 | Hugh Stone Lewing | Internal Medicine | 906 Rock Ledge Road, Heber Springs, AR 72543 | 2011-04-07 |
| 1174835995 | Linda Storm | Counselor | 408 South 7th Street, Heber Springs, AR 72543 | 2010-07-09 |
| 1922327485 | Henry C. Wallace | Orthopaedic Surgery | 301 Southridge Blvd Ste A, Heber Springs, AR 72543 | 2010-05-24 |
| Find all providers in zip 72543 | ||||
| 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 |
|---|---|---|---|---|
| 1447656129 | W.p. Malone, Inc. | Pharmacy | 600 W. Main Street, Heber Springs, AR 72543 | 2014-11-07 |
| 1093118945 | Ivy Family Pharmacy,inc | Pharmacy | 120 S 4th St, Heber Springs, AR 72543-3810 | 2014-10-07 |
| 1255750717 | Harps Food Stores, Inc | Pharmacy | 901 W Main St, Heber Springs, AR 72543-2928 | 2014-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356942320 | Freda Cunningham | Pharmacy | 2100 Hwy 77, Marion, AR 72364 | 2020-11-05 |
| 1457978157 | Sc Pharmacy Group Opco LLC | Pharmacy | 1800 Riverfront Dr Ste 100, Little Rock, AR 72202-1882 | 2020-06-29 |
| 1790306124 | Jbr Enterprises Inc | Pharmacy | 600 Hwy 365, Mayflower, AR 72106 | 2020-04-27 |
| 1215557905 | Medman23, Inc | Pharmacy | 3201 Springhill Dr Ste 110, North Little Rock, AR 72117-2910 | 2020-04-22 |
| 1336768985 | Harps Food Stores, Inc | Pharmacy | 611 Highway 62 65 N, Harrison, AR 72601-2208 | 2020-04-14 |
| 1598393605 | Highlands Oncology Group Pa | Pharmacy | 3901 Parkway Circle, Springdale, AR 72762 | 2020-04-01 |
| 1326674870 | Caraway Drug L.l.c | Pharmacy | 106 W. State Street, Caraway, AR 72419 | 2020-03-17 |
| 1104461532 | Pruett's Food, Inc. | Pharmacy | 101 W. Main, Lockesburg, AR 71846 | 2019-11-08 |
| 1760025274 | Holiday Island Pharmacy, LLC | Pharmacy | 2 Forest Park Dr Ste A, Holiday Island, AR 72631-9229 | 2019-10-28 |
| 1730722463 | Beebe Family Pharmacy, LLC | Pharmacy | 1701 W Dewitt Henry Dr, Beebe, AR 72012-2024 | 2019-10-25 |
| Find all providers with the same taxonomy | ||||
| City | HEBER SPRINGS |
| Zip Code | 72543 |
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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.