CLONTZ ENTERPRISES INC (NPI# 1689781213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689781213 |
| Entity Type | Organization |
| Organization Name | CLONTZ ENTERPRISES INC |
| Other Organization Name | DALES PHARMACY |
| Practice Address |
5411 Dollarway Rd Pine Bluff AR 71602-3907 |
| Practice Telephone | 8702474411 |
| Practice Fax Number | 8702473207 |
| Mailing Telephone | 8702474411 |
| Mailing Fax Number | 8702473207 |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DAWN CLONTZ (PRESIDENT) |
| Authorized Official Telephone | 8702474411 |
| Authorized Official Credential | PHARM D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| X | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
007674 | AR | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | DEA | BD3199759 | 01 |
| AR | NABP | 0417611 | 01 |
| Other Name | Type Code |
|---|---|
| DALES PHARMACY | Doing Business As Name - Organization |
| Street Address |
5411 DOLLARWAY RD |
| City | PINE BLUFF |
| State | AR |
| Zip Code | 71602-3907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265050447 | Bridget Furlong | Occupational Therapist | 2226 Barncy Lane, White Hall, AR 71602 | 2020-07-14 |
| 1609399963 | Interventional Surgery Institute of White Hall LLC | Clinic/Center | 7211 Dollarway Road, White Hall, AR 71602 | 2017-07-19 |
| 1679935761 | Pain Treatment Centers of America, Pllc | Durable Medical Equipment & Medical Supplies | 7211 Dollarway Rd, White Hall, AR 71602 | 2016-03-28 |
| 1326450446 | Rafeek Hegazy | Anesthesiology | 202 Frankie Ln, White Hall, AR 71602 | 2014-05-22 |
| 1275873515 | Craig Paul Anderson | Preventive Medicine | 13-020 Kabrich Circle, Pine Bluff, AR 71602 | 2013-02-24 |
| 1124258553 | Shellia Anne Kornegay | Nurse Practitioner | 1515 West 42nd Street, Pine Bluff, AR 71602 | 2009-07-20 |
| 1275789109 | Sarah Allison Rushing | Speech-Language Pathologist | 1020 West Holland Avenue, White Hall, AR 71602 | 2008-08-12 |
| 1245438852 | White Hall School District | Local Education Agency (LEA) | 1020 West Holland, White Hall, AR 71602 | 2007-07-05 |
| 1972622652 | Dewey Charles Scarbrough | Physician Assistant | 109 Frankie Lane, White Hall, AR 71602 | 2007-03-27 |
| 1427126135 | Donna D Massey | Dentist | 7215 Sheridan Road, White Hall, AR 71602 | 2006-12-01 |
| Find all providers in zip 71602 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508007410 | Ortho Solutions, LLC | Durable Medical Equipment & Medical Supplies | 2809 Miramar Dr, Pine Bluff, AR 71603-3813 | 2009-03-23 |
| 1851475990 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 4720 Dollarway Rd, Pine Bluff, AR 71602-4126 | 2006-10-25 |
| 1265515670 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2503 W 28th Ave, Pine Bluff, AR 71603-5053 | 2006-10-23 |
| 1174606586 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1401 E Harding Ave, Pine Bluff, AR 71601-6167 | 2006-10-23 |
| 1447332200 | Rgd Enterprises Inc | Durable Medical Equipment & Medical Supplies | 3000 W Pullen St, Pine Bluff, AR 71601-3718 | 2006-10-20 |
| 1790702108 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 5501 S Olive St, Pine Bluff, AR 71603-7607 | 2006-07-16 |
| 1396780987 | Magnifique, Inc. | Durable Medical Equipment & Medical Supplies | 730 S Blake St, Pine Bluff, AR 71603-1822 | 2006-06-18 |
| 1659528339 | Freds Stores of Tennessee Inc | Durable Medical Equipment & Medical Supplies | 2809 S Camden Rd, Pine Bluff, AR 71603-4628 | 2008-08-25 |
| 1801853858 | True Home Care - LLC | Durable Medical Equipment & Medical Supplies | 3801 Camden Rd, #2a, Pine Bluff, AR 71603-4612 | 2006-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720689524 | Pain Treatment Centers of America, Pllc | Durable Medical Equipment & Medical Supplies | 9 Freeway Dr Ste B, Little Rock, AR 72204-2486 | 2020-11-06 |
| 1770182446 | Tpab Medical | Durable Medical Equipment & Medical Supplies | 406 Honey Suckle, Brookland, AR 72417-8980 | 2020-10-22 |
| 1235743808 | Dqhha Equipment & Supply, Inc. | Durable Medical Equipment & Medical Supplies | 103 W Dodson St, Nashville, AR 71852-3121 | 2020-09-01 |
| 1497363436 | Just Like You Post-mastectomy Fitting Boutique | Durable Medical Equipment & Medical Supplies | 2913 King St Ste 3, Jonesboro, AR 72401-5353 | 2020-07-15 |
| 1427687698 | Ccdld,inc | Durable Medical Equipment & Medical Supplies | 18 Farnham Loop, Little Rock, AR 72223-9199 | 2020-04-08 |
| 1073149373 | Delta Medical Group Inc | Durable Medical Equipment & Medical Supplies | 375 E Millsap Rd Ste 1, Fayetteville, AR 72703-6289 | 2020-03-18 |
| 1447883871 | Innovative Outcome, Inc. | Durable Medical Equipment & Medical Supplies | 17300 Chenal Pkwy Ste 130, Little Rock, AR 72223-5802 | 2020-02-13 |
| 1477185130 | Jarrad Johnson | Durable Medical Equipment & Medical Supplies | 3017 Glen Flora Way, Fort Smith, AR 72908-9307 | 2020-02-10 |
| 1720619224 | Sana Solutions | Durable Medical Equipment & Medical Supplies | 11719 Hinson Rd Ste Officeh, Little Rock, AR 72212-3402 | 2020-02-03 |
| 1205475902 | Davie Medical Equipment, Inc | Durable Medical Equipment & Medical Supplies | 2705 Harrison St, Batesville, AR 72501-7428 | 2019-12-27 |
| Find all providers with the same taxonomy | ||||
| City | PINE BLUFF |
| Zip Code | 71602 |
Please comment or provide details below to improve the information on CLONTZ ENTERPRISES INC.
| 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.