RIVER VALLEY COMPOUNDING PHARMACY (NPI# 1790113538) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790113538 |
| Entity Type | Organization |
| Organization Name | RIVER VALLEY COMPOUNDING PHARMACY |
| Practice Address |
615 N Plaza Ct Suite A Van Buren AR 72956-2600 |
| Mailing Address |
615 North Plaza Drive Suite A Van Buren AR 72956 |
| Practice Telephone | 4794204428 |
| Mailing Telephone | 4794204428 |
| Enumeration Date | 2013-10-14 |
| Last Update Date | 2013-10-14 |
| Authorized Official Name | DR. LAUREN BROOKE DENTON (PHARMACIST) |
| Authorized Official Telephone | 8706783004 |
| Authorized Official Credential | PHARM.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers |
| Street Address |
615 N PLAZA CT SUITE A |
| City | VAN BUREN |
| State | AR |
| Zip Code | 72956-2600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013347459 | Lauren Brooke Denton | Pharmacist | 615 N Plaza Ct, Suite A, Van Buren, AR 72956-2600 | 2013-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760092597 | Fort Smith Regional Dialysis Center, LLC | Clinic/Center | 256 Northridge Drive E, Van Buren, AR 72956 | 2020-08-06 |
| 1831678507 | Baptist Health Services | Family Medicine | 209 Pointer Trl W Ste A, Van Buren, AR 72956 | 2018-08-13 |
| 1235618992 | Baptist Health Services | Pediatrics | 209 Pointer Trl W Ste B, Van Buren, AR 72956 | 2018-08-13 |
| 1225517030 | Baptist Heath Services | Family Medicine | 14 Gothic Ridge Rd Ste B, Van Buren, AR 72956 | 2018-08-13 |
| 1255810206 | Baptist Health Services | Family Medicine | 14 Gothic Ridge Rd Ste A, Van Buren, AR 72956 | 2018-08-10 |
| 1407371339 | Allison Frazier | Speech-Language Pathologist | 2221 Pointer Trail East, Van Buren, AR 72956 | 2017-08-11 |
| 1225443104 | Arkansas Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2015 Fayetteville Road, Van Buren, AR 72956 | 2014-06-30 |
| 1629326210 | Natalie N. Fink | Speech-Language Pathologist | 1109 Fayetteville Rd., Van Buren, AR 72956 | 2012-08-29 |
| 1538490271 | Ronald Joel Yukon | Chiropractor | 2731 Rudy Road, Van Buren, AR 72956 | 2010-01-20 |
| 1568799864 | Fritzie Suggs | Occupational Therapist | 2233 Alma Hwy, Suite C, Van Buren, AR 72956 | 2009-11-06 |
| Find all providers in zip 72956 | ||||
| Taxonomy Code | 3336C0004X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Compounding Pharmacy |
| A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner’s Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice. |
| Notes: Sources: NABP Model Practice Act, Appendix C - Good Compounding Practice, USP <795> and <797>, and Pharmacy Compounding Accreditation Board [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164056206 | Smith Drug and Compounding Inc | Pharmacy | 1 Mercy Ln Ste 103, Hot Springs, AR 71913-6408 | 2020-02-27 |
| 1285285908 | Tripharma Inc. | Pharmacy | 310 N Progress Ave, Siloam Springs, AR 72761 | 2019-09-24 |
| 1609352566 | Tripharma Inc | Pharmacy | 3500 Sw Regional Airport Blvd Ste 2, Bentonville, AR 72712 | 2018-07-13 |
| 1447619572 | Ppg Store 2 LLC | Pharmacy | 560 Gentry Blvd, Gentry, AR 72734-8576 | 2016-02-17 |
| 1588091201 | Collier Drug Stores Inc | Pharmacy | 2491 N. Center Street, Elkins, AR 72727 | 2013-09-27 |
| 1447590146 | Whitehall Pharmacy LLC | Pharmacy | 2302 W 28th Ave Ste B, Pine Bluff, AR 71603-5081 | 2013-02-18 |
| 1063775666 | Collier Drug Stores Inc | Pharmacy | 5203 Willow Creek Dr Ste 1, Springdale, AR 72762-0876 | 2012-06-19 |
| 1144588278 | Infinity Compounding Solutions LLC | Pharmacy | 1204 Se 28th St Ste 2, Bentonville, AR 72712-3887 | 2012-04-26 |
| 1043546799 | Cornerstone Pharmacy of Bella Vista LLC | Pharmacy | 1 Mercy Way Ste 50, Bella Vista, AR 72714-3000 | 2009-10-29 |
| 1154577138 | Us Compounding Inc. | Pharmacy | 2515 College Ave, Conway, AR 72034-6135 | 2008-08-11 |
| Find all providers with the same taxonomy | ||||
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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.