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SUPERMARKET INVESTORS INC NPI 1891843892


NPI Information

NPI: 1891843892
Provider Name: SUPERMARKET INVESTORS INC

Doing Business As: HARVEST FOODS PHARMACY

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
4101 E KIEHL AVE
SHERWOOD, AR
ZIP 72120
Phone: (501) 835-2630
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SUPERMARKET INVESTORS INC is a pharmacy in Sherwood, 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. SUPERMARKET INVESTORS INC NPI is 1891843892. The provider is registered as an organization entity type.
The provider Is Doing Business As Harvest Foods Pharmacy.

The provider's business location address is:

4101 E KIEHL AVE
SHERWOOD, AR
ZIP 72120-539
Phone: (501) 835-2630
Fax: (501) 835-2681

The provider's authorized official is Brenda Mccrady .
The authorized official title is Director Of Pharmacy and has the following contact phone number (501) 570-0007.

The enumeration date for this NPI number is 1/8/2007 and was last updated on 3/6/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336C0003XPharmacyCommunity/Retail PharmacyNo
2333600000XPharmacyAR20127ARKANSASYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10420252OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
2134908407MEDICAIDARKANSAS
31216250014MEDICARE ID-TYPE UNSPECIFIED
4150860716MEDICAIDARKANSAS

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

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