ARKANSAS CVS PHARMACY L.L.C. NPI 1225443104

NPI Information

NPI: 1225443104
Provider Name: ARKANSAS CVS PHARMACY, L.L.C.

Doing Business As: CVS PHARMACY # 10255

Classification: Pharmacy - 333600000X
Entity Type: Organization

Address:
2015 FAYETTEVILLE ROAD
VAN BUREN, AR
ZIP 72956
Phone: (479) 471-1608
Get Directions

ARKANSAS CVS PHARMACY, L.L.C. is a pharmacy in Van Buren, AR. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. ARKANSAS CVS PHARMACY, L.L.C. NPI is 1225443104. The provider is registered as an organization entity type.
The provider Is Doing Business As Cvs Pharmacy # 10255.

The provider's business location address is:

2015 FAYETTEVILLE ROAD
VAN BUREN, AR
ZIP 72956
Phone: (479) 471-1608

The provider's authorized official is Susan Colbert .
The authorized official title is Director, Payer Relations and has the following contact phone number (401) 765-1500.

The CLIA number assigned to this NPI record is 04D2224191 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/30/2014 and was last updated on 6/29/2015.

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 State	Primary
1	332B00000X	Durable Medical Equipment & Medical Supplies		ARKANSAS	No
2	3336C0003X	Pharmacy	Community/Retail Pharmacy	ARKANSAS	No
3	333600000X	Pharmacy		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	Other Provider Identifier Issuer
1	0424705	OTHER	ARKANSAS	NCPDP
2	6715340002	MEDICARE NSC	ARKANSAS
3	205484407	MEDICAID	ARKANSAS
4	262985	MEDICARE PIN	ARKANSAS
5	207830716	OTHER	ARKANSAS	DME

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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