Mitchell's Park Street Pharmacy, Inc.

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

MITCHELL'S PARK STREET PHARMACY, INC.

Doing business as

Mitchell's Park Street Pharmacy LTC

Practice address

526 Park St
Calico Rock, AR 72519-9070

Phone

(870) 297-8107

NPI assigned

Oct 7, 2024

Last updated

Oct 7, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sarah Beth Mitchell, PHARM DNPI 1194208074

Title

President/Pharmacist in Charge

Phone

(870) 297-8107

Specialties & licenses 1

Addresses

Other names 1

• Mitchell's Park Street Pharmacy LTC Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sarah Beth Mitchell, PHARM. D.

  • Pharmacist
  • Calico Rock, AR
  • NPI 1194208074
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1728259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728259200000",
    "number": "1295554293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 569",
            "city": "CALICO ROCK",
            "state": "AR",
            "postal_code": "725190569",
            "telephone_number": "870-297-8817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "526 PARK ST",
            "city": "CALICO ROCK",
            "state": "AR",
            "postal_code": "725199070",
            "telephone_number": "870-297-8107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITCHELL'S PARK STREET PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-07",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "PRESIDENT/PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "870-297-8107",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mitchell's Park Street Pharmacy LTC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Long Term Care Pharmacy in Calico Rock, AR
• Providers in Calico Rock, AR by specialty
• Long Term Care Pharmacy in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.