CITY DRUG AND SODA FOUNTAIN (NPI# 1861585002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861585002 |
| Entity Type | Organization |
| Organization Name | CITY DRUG AND SODA FOUNTAIN |
| Practice Address |
121 W S West Street Mount Ida AR 71957 |
| Mailing Address |
Po Box 865 Mount Ida AR 71957-0865 |
| Practice Telephone | 8708673310 |
| Practice Fax Number | 8708674848 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MICHAEL HOBSON (VP) |
| Authorized Official Telephone | 8708673310 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| X | 333600000X | Pharmacy | AR18598 | AR | Suppliers |
| X | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 0418598 | 01 |
| Street Address |
121 W S WEST STREET |
| City | MOUNT IDA |
| State | AR |
| Zip Code | 71957 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619326881 | Wagner Drugs, Inc. | Pharmacy | 744 Hwy 270 East, Mount Ida, AR 71957 | 2016-06-08 |
| 1245699636 | Seeking Serenity Holistic Therapy Center | Social Worker | 506 Hwy 270 E, Mt.ida, AR 71957 | 2016-02-15 |
| 1518368562 | Village Apothecary, Inc. | Durable Medical Equipment & Medical Supplies | 136 S George Street, Mt Ida, AR 71957 | 2014-09-09 |
| 1306276217 | Compleat Rehab and Sports Therapy Center(satellite Branch)of Jordan Pt | Physical Therapist | 135 South East Street, Mt.ida, AR 71957 | 2013-11-14 |
| 1265871370 | Barbara E Page | Veterinarian | 317 North George St, Mount Ida, AR 71957 | 2013-06-21 |
| 1609079102 | Cynthia Jean Crowson | Social Worker | 506 Highway 270 East, Mt. Ida, AR 71957 | 2007-06-11 |
| 1124229794 | David P Hochstedler | Physical Therapist | 741 South Dr, Mt. Ida, AR 71957 | 2007-05-30 |
| 1386864791 | Samantha Dawn Ashford | Physical Therapy Assistant | 741 S Drive, Mount Ida, AR 71957 | 2007-04-26 |
| 1396964557 | Jerry Daniel Mullin | Skilled Nursing Facility | 741 South Drive, Mt. Ida, AR 71957 | 2007-04-25 |
| 1659381705 | State of Arkansas | Home Health | 346 Luzerne, Montgomery County Health Unit, Mount Ida, AR 71957 | 2006-08-09 |
| Find all providers in zip 71957 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720689524 | Pain Treatment Centers of America, Pllc | Durable Medical Equipment & Medical Supplies | 9 Freeway Dr Ste B, Little Rock, AR 72204-2486 | 2020-11-06 |
| 1770182446 | Tpab Medical | Durable Medical Equipment & Medical Supplies | 406 Honey Suckle, Brookland, AR 72417-8980 | 2020-10-22 |
| 1235743808 | Dqhha Equipment & Supply, Inc. | Durable Medical Equipment & Medical Supplies | 103 W Dodson St, Nashville, AR 71852-3121 | 2020-09-01 |
| 1497363436 | Just Like You Post-mastectomy Fitting Boutique | Durable Medical Equipment & Medical Supplies | 2913 King St Ste 3, Jonesboro, AR 72401-5353 | 2020-07-15 |
| 1427687698 | Ccdld,inc | Durable Medical Equipment & Medical Supplies | 18 Farnham Loop, Little Rock, AR 72223-9199 | 2020-04-08 |
| 1073149373 | Delta Medical Group Inc | Durable Medical Equipment & Medical Supplies | 375 E Millsap Rd Ste 1, Fayetteville, AR 72703-6289 | 2020-03-18 |
| 1447883871 | Innovative Outcome, Inc. | Durable Medical Equipment & Medical Supplies | 17300 Chenal Pkwy Ste 130, Little Rock, AR 72223-5802 | 2020-02-13 |
| 1477185130 | Jarrad Johnson | Durable Medical Equipment & Medical Supplies | 3017 Glen Flora Way, Fort Smith, AR 72908-9307 | 2020-02-10 |
| 1720619224 | Sana Solutions | Durable Medical Equipment & Medical Supplies | 11719 Hinson Rd Ste Officeh, Little Rock, AR 72212-3402 | 2020-02-03 |
| 1205475902 | Davie Medical Equipment, Inc | Durable Medical Equipment & Medical Supplies | 2705 Harrison St, Batesville, AR 72501-7428 | 2019-12-27 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on CITY DRUG AND SODA FOUNTAIN.
| 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.