SAINT-MARK ENTERPRISES 1890 LLC (NPI# 1902043227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902043227 |
| Entity Type | Organization |
| Organization Name | SAINT-MARK ENTERPRISES 1890 LLC |
| Other Organization Name | MEDICINE SHOPPE |
| Practice Address |
2425 Dave Ward Dr Suite 602 Conway AR 72034-8686 |
| Mailing Address |
Po Box 98 Eureka MO 63025-0098 |
| Practice Telephone | 5013297777 |
| Mailing Telephone | 3145182427 |
| Enumeration Date | 2009-01-08 |
| Last Update Date | 2012-02-01 |
| Authorized Official Name | MARK A MILLER (OWNER) |
| Authorized Official Telephone | 3145182427 |
| Is Organization Subpart | Y |
| Parent Organization Name | SAINT-MARK ENTERPRISES LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 175898407 | 05 | |
| NCPDP # | 0423044 | 01 |
| Other Name | Type Code |
|---|---|
| MEDICINE SHOPPE | Doing Business As Name - Organization |
| Street Address |
2425 DAVE WARD DR SUITE 602 |
| City | CONWAY |
| State | AR |
| Zip Code | 72034-8686 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801884622 | Jeffrey P Kirsch | Specialist | 2425 Dave Ward Dr, Ste 101, Conway, AR 72034-8686 | 2005-10-06 |
| 1467089599 | Conway Ambulatory Surgery Center, LLC | Clinic/Center | 2425 Dave Ward Dr, Conway, AR 72034-8686 | 2020-03-26 |
| 1114461118 | Leah Marie Lamb | Pharmacist | 2425 Dave Ward Dr, Suite 602, Conway, AR 72034-8686 | 2016-12-09 |
| 1962862557 | Rachel Choate | Nurse Practitioner | 2425 Dave Ward Dr, Suite 202, Conway, AR 72034-8686 | 2016-02-25 |
| 1992180269 | Natalie Claire Brownd | Nurse Practitioner | 2425 Dave Ward Dr, Suite #401, Conway, AR 72034-8686 | 2015-07-28 |
| 1871990937 | The Pain Medicine Consultants Group | Durable Medical Equipment & Medical Supplies | 2425 Dave Ward Dr, Gordy Building Ste 102, Conway, AR 72034-8686 | 2014-12-04 |
| 1558667683 | Annette N. Anderson, Md, Pa | Psychiatry & Neurology | 2425 Dave Ward Dr, Suite 102, Conway, AR 72034-8686 | 2011-02-08 |
| 1851697197 | Jaclyn J Cooper | Nurse Practitioner | 2425 Dave Ward Dr, Suite 601, Conway, AR 72034-8686 | 2011-02-03 |
| 1558536219 | Kathleen E. Phillips | Audiologist | 2425 Dave Ward Dr, Suite 101, Conway, AR 72034-8686 | 2008-04-24 |
| 1740481274 | Trudy Davis Forbush | Physical Therapist | 2425 Dave Ward Dr, Conway, AR 72034-8686 | 2007-05-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013563758 | Shelby M Perez | Case Manager/Care Coordinator | 3240 Stermer Rd, Conway, AR 72034 | 2019-08-16 |
| 1467932772 | Faith J Parfait | Licensed Practical Nurse | 1352 Watkins St, Conway, AR 72034 | 2018-08-16 |
| 1043790611 | David Adam Steinfeld | Nurse Practitioner | 855 S German Ln Ste 1, Conway, AR 72034 | 2018-08-14 |
| 1245728484 | Conway Behavioral Health, LLC | Psychiatry & Neurology | 2255 Sturgis Rd, Conway, AR 72034 | 2018-04-24 |
| 1972007292 | Eldercare of Arkansas IIi, Inc. | Assisted Living Facility | 1306 S. Donaghey, Conway, AR 72034 | 2018-03-21 |
| 1528561404 | Kouhei Kobayashi | Specialist/Technologist | 2201 Moix Blvd., Apt. 908, Conway, AR 72034 | 2018-03-16 |
| 1780191015 | Sydnie Thessing | Nurse Practitioner | 605 Dave Ward Drive #105, Conway, AR 72034 | 2018-01-09 |
| 1508371865 | Ebony Latreace Charleston | Case Manager/Care Coordinator | 3240 Stermer Road, Conway, AR 72034 | 2017-12-08 |
| 1689190647 | Denise Annette Aikman | Dentist | 1210 Hogan Lane, Suite 200, Conway, AR 72034 | 2017-08-21 |
| 1134669138 | Hortons Orthotic Lab, Inc. | Prosthetic/Orthotic Supplier | 635 Dave Ward, Suite 103, Conway, AR 72034 | 2017-02-24 |
| Find all providers in zip 72034 | ||||
| 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 |
|---|---|---|---|---|
| 1124672662 | Proxsys Rx - Sc, LLC | Pharmacy | 300 Singelton Ridge Road, Conway, SC 29526 | 2019-08-01 |
| 1023466281 | Sam's Club Pharmacy | Pharmacy | 1850 S Donaghey Ave, Conway, AR 72034-8659 | 2016-05-28 |
| 1588077283 | Cornerstone Pharmacy Conway, LLC | Pharmacy | 815 Hogan Ln Ste 10, Conway, AR 72034-7959 | 2014-06-10 |
| 1659619120 | Conway Medcare Pharmacy, LLC | Pharmacy | 2521 College Ave, Conway, AR 72034-6135 | 2013-01-17 |
| 1104186212 | Southside Pharmacy LLC | Pharmacy | 3320 4th Ave Ste F, Conway, SC 29527-6057 | 2012-05-22 |
| 1881909638 | Harps Food Stores, Inc | Pharmacy | 1120 E German Ln, Conway, AR 72032 | 2010-08-17 |
| 1669619094 | Saint-mark Enterprises 1906 LLC | Pharmacy | 2125 College Ave Ste 1, Conway, AR 72034-6387 | 2009-01-07 |
| 1851494629 | South Carolina Cvs Pharmacy LLC | Pharmacy | 707 Church St, Conway, SC 29526-4824 | 2006-09-07 |
| 1649373135 | South Carolina Cvs Pharmacy LLC | Pharmacy | 2296 Hwy 501 East, Conway, SC 29526 | 2006-09-07 |
| 1316969199 | Arkansas Cvs Pharmacy LLC | Pharmacy | 501 Elsinger Blvd, Conway, AR 72032-4717 | 2006-07-24 |
| Find all providers in CONWAY | ||||
Please comment or provide details below to improve the information on SAINT-MARK ENTERPRISES 1890 LLC.
| 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.