COLLIER DRUG STORES INC (NPI# 1801425624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801425624 |
| Entity Type | Organization |
| Organization Name | COLLIER DRUG STORES INC |
| Practice Address |
100 W Dickson St Fayetteville AR 72701-5219 |
| Mailing Address |
Po Box 1085 Fayetteville AR 72702-1085 |
| Practice Telephone | 4799354345 |
| Enumeration Date | 2020-04-03 |
| Last Update Date | 2020-04-03 |
| Authorized Official Name | MEL COLLIER (OWNER) |
| Authorized Official Telephone | 4794426262 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 100232407 | 05 | |
| PK | 1992736 | 01 |
| Other Name | Type Code |
|---|---|
| Collier Drug-Dickson | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073921177 | Collier Drug Stores Inc | Pharmacy | 171 N Maestri Rd Ste 3, Springdale, AR 72762-9818 | 2014-08-01 |
| 1588091201 | Collier Drug Stores Inc | Pharmacy | 2491 N. Center Street, Elkins, AR 72727 | 2013-09-27 |
| 1063775666 | Collier Drug Stores Inc | Pharmacy | 5203 Willow Creek Dr Ste 1, Springdale, AR 72762-0876 | 2012-06-19 |
| 1336455153 | Collier Drug Stores Inc | Pharmacy | 2900 Medical Parkway Drive, Suite 120, Bentonville, AR 72712 | 2010-08-31 |
| 1609877414 | Collier Drug Stores Inc | Pharmacy | 5201 Willow Creek Dr, Johnson, AR 72741 | 2005-08-02 |
| 1598765596 | Collier Drug Stores Inc | Pharmacy | 3380 N Futrall Dr Ste 2, Ste 2, Fayetteville, AR 72703-4815 | 2005-08-01 |
| 1427058593 | Collier Drug Stores Inc | Pharmacy | 197 E Main St, Farmington, AR 72730-3077 | 2005-07-29 |
| 1003816174 | Collier Drug Stores Inc | Pharmacy | 801 E Douglas St, Prairie Grove, AR 72753-2737 | 2005-07-29 |
| 1699774208 | Collier Drug Stores Inc | Pharmacy | 100 W Dickson St, Fayetteville, AR 72701-5219 | 2005-07-15 |
| Street Address |
100 W DICKSON ST |
| City | FAYETTEVILLE |
| State | AR |
| Zip Code | 72701-5219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699774208 | Collier Drug Stores Inc | Pharmacy | 100 W Dickson St, Fayetteville, AR 72701-5219 | 2005-07-15 |
| 1033678453 | Julie Ann Tomboli Cole | Pharmacist | 100 W Dickson St, Fayetteville, AR 72701-5219 | 2019-03-15 |
| 1629454681 | Stefan Kurt Luker | Pharmacist | 100 W Dickson St, Fayetteville, AR 72701-5219 | 2015-07-31 |
| 1144603887 | Dylan Jones | Pharmacist | 100 W Dickson St, Fayetteville, AR 72701-5219 | 2015-06-30 |
| 1902201288 | Caul Corbell | Pharmacist | 100 W Dickson St, Fayetteville, AR 72701-5219 | 2014-10-28 |
| 1083018881 | Kathryn Stark | Pharmacist | 100 W Dickson St, Fayetteville, AR 72701-5219 | 2014-10-22 |
| 1982705653 | William E Hardcastle | Pharmacist | 100 W Dickson St, Fayetteville, AR 72701-5219 | 2006-09-26 |
| 1841304334 | Jeremy W Veteto | Pharmacist | 100 W Dickson St, Fayetteville, AR 72701-5219 | 2006-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588213417 | Biggers Counseling, LLC | Social Worker | 349 S Hill Ave, Fayetteville, AR 72701 | 2019-09-04 |
| 1235603200 | Arkansas Holistic Health Care Chiropractic | Chiropractor | 2618 Mlk Jr Blvd, Fayetteville, AR 72701 | 2019-01-14 |
| 1225520828 | Jacoby Markie Clemons | Specialist/Technologist | 1201 West Leroy Pond Dr, Fayetteville, AR 72701 | 2018-05-31 |
| 1952892390 | Ambur Dryer | Specialist/Technologist | 994 W Mlk Jr. Blvd., Fayetteville, AR 72701 | 2018-05-22 |
| 1851814230 | Blakely Low | Psychologist | 1229 Meadow Street Suite #221, Jones Family Center for Student-athlete Success, Fayetteville, AR 72701 | 2017-07-18 |
| 1518496215 | Van Michael Mcqueen Jr. | Dentist | 640 N Garland Ave # 104, Fayetteville, AR 72701 | 2017-06-06 |
| 1407204217 | Kenna Megan Hodeaux | Specialist/Technologist | 1201 Leroy Pond Drive, Sports Medicine Department, Fayetteville, AR 72701 | 2016-06-02 |
| 1740634435 | Crystal Susan Rofkahr | Psychologist | 26 E Meadow St Ste 3, Fayetteville, AR 72701 | 2016-04-19 |
| 1942663521 | Satoshi IIda | Specialist/Technologist | 1010 S Dunn Ave., Apt 205a, Fayetteville, AR 72701 | 2016-04-01 |
| 1992163901 | Dr Don M Chaney Dds Pa | Dentist | 1826 N. Crossover Road, Suite 2, Fayetteville, AR 72701 | 2016-02-04 |
| Find all providers in zip 72701 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| 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 |
|---|---|---|---|---|
| 1891789574 | R & R Medical Inc | Pharmacy | 2515 E Huntsville Rd, Fayetteville, AR 72701-7329 | 2005-09-08 |
| 1821098880 | Collier Pharmacy Services | Pharmacy | 102 W Dickson St, Suite S, Fayetteville, AR 72701-5219 | 2005-07-29 |
| 1699774208 | Collier Drug Stores Inc | Pharmacy | 100 W Dickson St, Fayetteville, AR 72701-5219 | 2005-07-15 |
| 1114483559 | Brightstar Health Corp | Pharmacy | 5515 Waldos Beach Rd, Fayetteville, NC 28306-5505 | 2019-02-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841841715 | Village Apothecary Inc | Pharmacy | 24615 Highway 5, Lonsdale, AR 72087-8017 | 2019-09-23 |
| 1104484971 | Austin Gilbreath | Pharmacy | 970d Ash Flat Dr, Ash Flat, AR 72513-9533 | 2019-06-05 |
| 1295291441 | Health Depot Pharmacies, LLC | Pharmacy | 1610 Fort St, Barling, AR 72923-2018 | 2019-02-13 |
| 1417458829 | Paragon Pharmacy, LLC | Pharmacy | 14524 Cantrell Rd Ste 100a, Little Rock, AR 72223-4700 | 2018-02-22 |
| 1619326881 | Wagner Drugs, Inc. | Pharmacy | 744 Hwy 270 East, Mount Ida, AR 71957 | 2016-06-08 |
| 1669826954 | Caeb Investments Inc. | Pharmacy | 11200 Arch Street, Little Rock, AR 72206 | 2016-04-22 |
| 1215349667 | Midsouth Medical Specialties, LLC | Pharmacy | 5500 Central Avenue, Hot Springs, AR 71913 | 2014-05-20 |
| 1942645569 | Warmack Pharmacies,inc. | Pharmacy | 300 Pine Street, Rison, AR 71665 | 2013-05-09 |
| 1588972418 | Allied Health Services LLC | Pharmacy | 600 N Main St Ste C, Melbourne, AR 72556-0769 | 2010-09-14 |
| 1457565400 | Professional Pharmacy | Pharmacy | 1515 N. Medical Drive, Stuttgart, AR 72160 | 2007-05-09 |
| Find all providers with the same taxonomy | ||||
| City | FAYETTEVILLE |
| Zip Code | 72701 |
Please comment or provide details below to improve the information on COLLIER DRUG STORES 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.