NPIMap

Organization Active NPI

Coleman Pharmacy of Crawford County Inc.

  • Community/Retail Pharmacy
  • Alma, AR
National Provider Identifier
1295964047
Registry record updated Aug 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
01466 Issued in AR
Legal business name
COLEMAN PHARMACY OF CRAWFORD COUNTY INC.
Practice address
110 Fayetteville Ave
Alma, AR 72921-3654
Phone
(479) 632-2248
Fax
(479) 632-2386
NPI assigned
Jul 14, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2022

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

Authorized official

Name
Steve Bryant Jr., PHARM D
Title
Owner
Phone
(870) 793-3999

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 01466 AR Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

110 Fayetteville Ave
Alma, AR 72921-3654

Mailing address

PO Box 2550
Alma, AR 72921-2550
Phone (479) 632-2248

Other names 1

  • Coleman Pharmacy of Alma Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101215000991 AR Part B Supplier - Mass Immunization (Roster Biller Only) 4284822370 Practice locations: Alma, AR

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
04D2170356Coleman Pharmacy of Alma110 Fayetteville Ave, Alma, AR 72921Certificate of waiverAug 7, 2027

National Provider Directory

National Provider Directory
Tax ID family
Coleman Pharmacy Long Term Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1247529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661731200000",
    "number": "1295964047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2550",
            "city": "ALMA",
            "state": "AR",
            "postal_code": "729212550",
            "telephone_number": "479-632-2248",
            "fax_number": "479-632-2386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 FAYETTEVILLE AVE",
            "city": "ALMA",
            "state": "AR",
            "postal_code": "729213654",
            "telephone_number": "479-632-2248",
            "fax_number": "479-632-2386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLEMAN PHARMACY OF CRAWFORD COUNTY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-14",
        "last_updated": "2022-08-29",
        "certification_date": "2020-12-01",
        "status": "A",
        "authorized_official_last_name": "BRYANT",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-793-3999",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AR",
            "license": "01466",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coleman Pharmacy of Alma",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Coleman Pharmacy of Alma",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alma, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.