ARKANSAS CVS PHARMACY, L.L.C. (NPI# 1700334455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700334455 |
| Entity Type | Organization |
| Organization Name | ARKANSAS CVS PHARMACY, L.L.C. |
| Other Organization Name | CVS PHARMACY # 10666 |
| Practice Address |
110 Southwest Drive Jonesboro AR 72401-5827 |
| Mailing Address |
One Cvs Drive Mail Code 1090 Woonsocket RI 02895-6146 |
| Practice Telephone | 8702681743 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2016-09-12 |
| Last Update Date | 2016-12-27 |
| Authorized Official Name | SUSAN COLBERT (SR. DIRECTOR-PAYER RELATIONS) |
| Authorized Official Telephone | 4017651500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | AR | Suppliers | |
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
AR | Suppliers | |
| Y | 333600000X | Pharmacy | AR | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | NCPDP | 0425757 | 01 |
| AR | 216258407 | 05 |
| Other Name | Type Code |
|---|---|
| CVS PHARMACY # 10666 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962852954 | Arkansas Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 1122 S. University Ave, Little Rock, AR 72204 | 2016-06-21 |
| 1154796530 | Arkansas Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 609 Military Road, Benton, AR 72015-3706 | 2015-12-10 |
| 1609248913 | Arkansas Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 1501 West Kings Hwy, Paragould, AR 72450-4010 | 2015-10-26 |
| 1215304969 | Arkansas Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 8902 Geyer Springs Rd, Little Rock, AR 72209-6421 | 2015-08-28 |
| 1003294646 | Arkansas Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 3220 N Reynolds Rd, Bryant, AR 72022-9039 | 2015-05-15 |
| 1619368792 | Arkansas Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2001 S Thompson St, Springdale, AR 72764-6329 | 2015-02-11 |
| 1912306036 | Arkansas Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2402 N. College Avenue, Fayetteville, AR 72703-3308 | 2014-08-14 |
| 1396151403 | Arkansas Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2833 Bella Vista Way, Bella Vista, AR 72714-3709 | 2014-07-09 |
| 1225443104 | Arkansas Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2015 Fayetteville Road, Van Buren, AR 72956 | 2014-06-30 |
| 1831504257 | Arkansas Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 8604 Highway 107, Sherwood, AR 72120-2902 | 2014-06-24 |
| Street Address |
110 SOUTHWEST DRIVE |
| City | JONESBORO |
| State | AR |
| Zip Code | 72401-5827 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407453368 | Mariah Kay Jackson | Physical Therapy Assistant | Creative Kids Therapy, Jonesboro, AR 72401 | 2020-10-05 |
| 1821606005 | Kafayat Folake Iyanda | Specialist/Technologist | 2105 East Aggie Rd, Jonesboro, AR 72401 | 2020-07-14 |
| 1053936310 | Josh Roberts | Physical Therapist | 1010 South Main St, Jonesboro, AR 72401 | 2020-06-12 |
| 1003449687 | Amy Mary Elizabeth Daughhetee | Nurse Practitioner | 225 East Washington Ave, Jonesboro, AR 72401 | 2020-02-21 |
| 1871126698 | Sarah Lowtharp | Clinical Nurse Specialist | 225 East Washington Ave., Jonesboro, AR 72401 | 2020-02-20 |
| 1891335519 | Mallori Miller | Case Manager/Care Coordinator | 837 Willett Rd, Jonesboro, AR 72401 | 2020-01-10 |
| 1265073704 | Michael Bruce Collie | Registered Nurse | 837 Williett Road, Jonesboro, AR 72401 | 2019-10-07 |
| 1285283432 | Jonesboro Ambulatory Surgery Center, LLC | Clinic/Center | 1710 Mayfield Dr, Jonesboro, AR 72401 | 2019-09-10 |
| 1841843943 | Destinee Katrina Cole | Specialist/Technologist | 2015 Aggie Rd, Jonesboro, AR 72401 | 2019-07-18 |
| 1699250472 | Jessica Marie Mcnatt | Occupational Therapist | 907 County Road 753, Jonesboro, AR 72401 | 2018-09-27 |
| Find all providers in zip 72401 | ||||
| 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 |
|---|---|---|---|---|
| 1841534674 | Hilltop Family Pharmacy | Pharmacy | 3605 E Johnson Ave, Jonesboro, AR 72401-1808 | 2012-11-16 |
| 1396811055 | Town and Country Grocers of Frederickstown Mo Inc | Pharmacy | 3106 Southwest Dr, Jonesboro, AR 72404-8404 | 2006-11-27 |
| 1285706069 | G and M Pharmacy Inc | Pharmacy | 325 Southwest Dr, Suite A, Jonesboro, AR 72401-5854 | 2006-11-15 |
| 1538239611 | Wpm Community Pharmacies LLC | Pharmacy | 1903 Grant Ave Ste Iandj, Jonesboro, AR 72401-6134 | 2006-11-08 |
| 1558447763 | Camps Medical Pharmacy | Pharmacy | 800 South Church, Suite 103, Jonesboro, AR 72401 | 2006-10-31 |
| 1467537753 | Glen-mar Inc | Pharmacy | 200 Jimmie Davis Blvd, Jonesboro, LA 71251-3329 | 2006-10-26 |
| 1407881568 | Freds Stores of Tennessee Inc | Pharmacy | 4212 E Johnson Ave, Jonesboro, AR 72401-8838 | 2006-07-11 |
| 1659302792 | K Mart Corp | Pharmacy | 7965 Tara Blvd, Jonesboro, GA 30236-2200 | 2006-07-06 |
| 1356372460 | K Mart Corp | Pharmacy | 2010 S Caraway Rd, Jonesboro, AR 72401-5201 | 2006-07-06 |
| 1326049131 | Gibson's Pharmacy of Jonesboro Inc | Pharmacy | 403 E Matthews Ave, Jonesboro, AR 72401-3142 | 2005-08-02 |
| 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.