REED DRUG STORE INC NPI 1083600910

NPI Information

NPI: 1083600910
Provider Name: REED DRUG STORE INC

Other Name: DIABETES SHOPPE

Classification: Durable Medical Equipment & Medical Supplies - 332BC3200X
Entity Type: Organization

Specialization: Customized Equipment

Address:
201 S MAIN ST
PINE BLUFF, AR
ZIP 71601
Phone: (870) 534-8351
Get Directions

REED DRUG STORE INC is a customized equipment durable medical equipment medical supplies in Pine Bluff, AR. REED DRUG STORE INC NPI is 1083600910. The provider is registered as an organization entity type.
The provider Other Name Is Diabetes Shoppe.

The provider's business location address is:

201 S MAIN ST
PINE BLUFF, AR
ZIP 71601-321
Phone: (870) 534-8351
Fax: (870) 850-6318

The provider's authorized official is Robert A Rosen .
The authorized official title is President Pharmacist In Charge and has the following contact phone number (870) 534-8351.

The enumeration date for this NPI number is 9/26/2005 and was last updated on 4/7/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	291U00000X	Clinical Medical Laboratory		04D0983574 CLIA	ARKANSAS	No
2	332B00000X	Durable Medical Equipment & Medical Supplies		100103407	ARKANSAS	No
3	332BC3200X	Durable Medical Equipment & Medical Supplies	Customized Equipment	140255716	ARKANSAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	1154600001	MEDICARE NSC	ARKANSAS
2	140255716	MEDICAID	ARKANSAS
3	48350	MEDICARE PIN	ARKANSAS
4	100-103-407	MEDICAID	ARKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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