CITY DRUG CO (NPI# 1811983406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811983406 |
| Entity Type | Organization |
| Organization Name | CITY DRUG CO |
| Practice Address |
1512 Linwood Dr Paragould AR 72450-5814 |
| Practice Telephone | 8702368501 |
| Practice Fax Number | 8702395324 |
| Mailing Telephone | 8702368501 |
| Mailing Fax Number | 8702395324 |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2017-01-24 |
| Authorized Official Name | MR. JIMMY CHARLES DODD JR. (PRESIDENT OWNER) |
| Authorized Official Telephone | 8702368501 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | AR07014 | AR | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 100212407 | 05 | |
| NCPDP | 0407014 | 01 | |
| MO | 607690500 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487657805 | City Drug Co | Pharmacy | 630 Rb Wilson Dr, Huntingdon, TN 38344-1726 | 2005-05-31 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | CITY DRUG COMPANY | 108 E Wishkah St, Aberdeen, WA 98520 |
| Street Address |
1512 LINWOOD DR |
| City | PARAGOULD |
| State | AR |
| Zip Code | 72450-5814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336548882 | City Drug Co, Inc. | Pharmacist | 1512 Linwood Dr, Paragould, AR 72450-5814 | 2014-08-21 |
| 1811314537 | Joy Miller | Pharmacist | 1512 Linwood Dr, Paragould, AR 72450-5814 | 2014-03-19 |
| 1427322700 | Mallory Anne Williams | Pharmacist | 1512 Linwood Dr, Paragould, AR 72450-5814 | 2012-03-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063029460 | Onward and Upward Counseling, Pllc | Counselor | 100 North Rockingchair Road, Ste 3, Paragould, AR 72450 | 2020-09-29 |
| 1871104182 | Michele Lynn Jones | Technician | 2905 Stonegate Dr, Paragould, AR 72450 | 2020-08-11 |
| 1205457405 | Arkansas Methodist Hospital Corp. | Family Medicine | 1000 W. Kinshighway, Suite 14, Paragould, AR 72450 | 2020-04-29 |
| 1053968222 | Stewart Pediatric Therapy LLC | Occupational Therapist | 1908 Mockingbird Lane, Suite A, Paragould, AR 72450 | 2019-08-22 |
| 1821575911 | Ashley Brooke Mcleskey | Physical Therapy Assistant | 9504 Hwy 135 N, Paragould, AR 72450 | 2018-07-23 |
| 1437660925 | Susan Leigh Boling | Behavioral Analyst | 3171 Green 905 Road, Paragould, AR 72450 | 2017-10-24 |
| 1518481589 | Amy Elms | Nurse Practitioner | 1000 W Kingshighway Ste 3, Paragould, AR 72450 | 2017-08-01 |
| 1073065074 | Sarah Katherine Medley | Case Manager/Care Coordinator | 1101 West Morgan, Paragould, AR 72450 | 2016-10-26 |
| 1285097949 | Chelsea Lee Thompson | Family Medicine | 1110 W. Kingshighway, Paragould, AR 72450 | 2016-03-31 |
| 1609234269 | Bethel Burris Oliver | Dentist | 2713 W Kings Highway, Paragould, AR 72450 | 2016-02-10 |
| Find all providers in zip 72450 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093057069 | Twana Watkins | Pharmacist | 612 W Mueller, Paragould, AR 72450-5041 | 2013-03-18 |
| 1528198132 | David Bradley Eddington | Pharmacist | 831 Greene Road 733, Paragould, AR 72450-6199 | 2007-03-06 |
| 1639186174 | Robert E. Hodge II | Pharmacist | 320 W Kingshighway, Paragould, AR 72450-4229 | 2006-08-01 |
| 1134113046 | Steve E Smoker | Pharmacist | 1001 W Kingshighway, Paragould, AR 72450-4142 | 2005-09-07 |
| 1518568435 | Phillip Wilson | Pharmacist | 2802 W Kingshighway, Paragould, AR 72450-2617 | 2020-11-06 |
| 1912508920 | Kerry Don Stevens | Pharmacist | 4763 Highway 135 N, Paragould, AR 72450-9085 | 2020-11-05 |
| 1326649831 | Molly Copeland | Pharmacist | 2600 Linwood Dr, Paragould, AR 72450-6125 | 2020-11-03 |
| 1205437639 | Crystal Michelle Lawless | Pharmacist | 2600 Linwood Dr, Paragould, AR 72450-6125 | 2020-11-03 |
| 1669073078 | Rachel Martin | Pharmacist | 2600 Linwood Dr, Paragould, AR 72450-6125 | 2020-11-03 |
| 1669072617 | Caleb Finley | Pharmacist | 2802 W Kingshighway, Paragould, AR 72450-2617 | 2020-10-29 |
| Find all providers in PARAGOULD | ||||
Please comment or provide details below to improve the information on CITY DRUG CO.
| 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.