MED CENTER PHARMACY (NPI# 1801908892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801908892 |
| Entity Type | Organization |
| Organization Name | MED CENTER PHARMACY |
| Other Organization Name | MED CENTER PHARMACY |
| Practice Address |
2901 Medical Center Dr Pocahontas AR 72455-9438 |
| Practice Telephone | 8708924495 |
| Practice Fax Number | 8708921833 |
| Mailing Telephone | 8708924495 |
| Mailing Fax Number | 8708921833 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2017-04-04 |
| Authorized Official Name | RANDALL BURGE (MANAGER) |
| Authorized Official Telephone | 8708924495 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
AR17243 | AR | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 1995150 | 01 | |
| AR | 121103407 | 05 |
| Other Name | Type Code |
|---|---|
| MED CENTER PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376664755 | Med Center Pharmacy | Pharmacy | Cloy Ave Extension, Tyrone, PA 16686 | 2007-04-03 |
| Street Address |
2901 MEDICAL CENTER DR |
| City | POCAHONTAS |
| State | AR |
| Zip Code | 72455-9438 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508855305 | Pocahontas Medical Clinic Pa | Family Medicine | 2901 Medical Center Dr, Pocahontas, AR 72455-9438 | 2005-10-14 |
| 1164052742 | Tara Meghan Kendall | Family Medicine | 2901 Medical Center Dr, Pocahontas, AR 72455-9438 | 2020-01-22 |
| 1457990889 | Margrett Alice Mcpherson | Nurse Practitioner | 2901 Medical Center Dr, Pocahontas, AR 72455-9438 | 2020-01-02 |
| 1295218899 | Lauren Garner | Nurse Practitioner | 2901 Medical Center Dr, Pocahontas, AR 72455-9438 | 2018-09-10 |
| 1639621121 | Marissa Hogan | Nurse Practitioner | 2901 Medical Center Dr, Pocahontas, AR 72455-9438 | 2016-10-31 |
| 1962882902 | Tiffany Baker | Nurse Practitioner | 2901 Medical Center Dr, Pocahontas, AR 72455-9438 | 2015-06-04 |
| 1457747297 | Natasha Marie Wantulok | Family Medicine | 2901 Medical Center Dr, Pocahontas, AR 72455-9438 | 2015-04-08 |
| 1235385238 | Cammie Michelle Sifford | Nurse Practitioner | 2901 Medical Center Dr, Pocahontas, AR 72455-9438 | 2008-08-11 |
| 1407065725 | Kelly Joseph Derrick | Family Medicine | 2901 Medical Center Dr, Pocahontas, AR 72455-9438 | 2007-05-22 |
| 1164442786 | Joe Keith Jones | Dentist | 2901 Medical Center Dr, Drs Bldg, Pocahontas, AR 72455-9438 | 2006-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043694920 | Puckett Dental LLC | Clinic/Center | 1041 Highway 67 North, Pocahontas, AR 72455 | 2015-07-10 |
| 1659676443 | Higginbotham Therapy Providers LLC | Speech-Language Pathologist | 42 Helter Rd, Pocahontas, AR 72455 | 2011-01-25 |
| 1083846059 | Amber Dawn Hudson | Speech-Language Pathologist | 84 Woodland Hill Circle, Pocahontas, AR 72455 | 2009-08-10 |
| 1174752125 | Sara Jocelyn Hubbell | Developmental Therapist | 410 Camp Road, Pocahontas, AR 72455 | 2009-07-13 |
| 1730332511 | Holly T Brigance | Nurse Practitioner | 2901 Medical Center Drive, Pocahontas, AR 72455 | 2008-10-24 |
| 1255598983 | Ashley Erin Taylor | Registered Nurse | 2018 Highway 67 S, Pocahontas, AR 72455 | 2008-05-20 |
| 1740405661 | Leslie Marie Malone | Speech-Language Pathologist | 2300 North Park St., Pocahontas, AR 72455 | 2007-04-16 |
| 1942354808 | D Mike Mcdaniel | Audiologist | 153 Country Club Road, Pocahontas, AR 72455 | 2007-01-22 |
| 1366518615 | University of Arkansas for Medical Sciences | Pediatrics | 300 Camp Rd, Pocahontas, AR 72455 | 2006-11-28 |
| 1275623035 | Families, Inc. of Arkansas | Counselor | 2305 Old County Road, Pocahontas, AR 72455 | 2006-10-13 |
| Find all providers in zip 72455 | ||||
| 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 |
|---|---|---|---|---|
| 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 | POCAHONTAS |
| Zip Code | 72455 |
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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.