NPIMap

Organization Active NPI

Mainline Pharmacy Services Inc

Doing business as Clinic Pharmacy of Monticello

  • Long Term Care Pharmacy
  • Monticello, AR
National Provider Identifier
1407540016
Registry record updated Jun 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
MAINLINE PHARMACY SERVICES INC
Doing business as
Clinic Pharmacy of Monticello
Practice address
535 Jordan Dr
Monticello, AR 71655-5714
Phone
(870) 224-0651
Fax
(870) 224-0652
NPI assigned
Jun 6, 2023
Last updated
Jun 8, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2023

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

Authorized official

Name
Calley McNemar
Title
Manager
Phone
(870) 265-2220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

535 Jordan Dr
Monticello, AR 71655-5714

Mailing address

PO Box 552
Lake Village, AR 71653-0552
Phone (870) 265-2220

Other names 1

  • Clinic Pharmacy of Monticello Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Clinic Pharmacy of Monticello2 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.

NPI Registry JSON

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

{
    "created_epoch": "1686009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686182400000",
    "number": "1407540016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 552",
            "city": "LAKE VILLAGE",
            "state": "AR",
            "postal_code": "716530552",
            "telephone_number": "870-265-2220",
            "fax_number": "870-265-2226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 JORDAN DR",
            "city": "MONTICELLO",
            "state": "AR",
            "postal_code": "716555714",
            "telephone_number": "870-224-0651",
            "fax_number": "870-224-0652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAINLINE PHARMACY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-06",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A",
        "authorized_official_last_name": "MCNEMAR",
        "authorized_official_first_name": "CALLEY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "870-265-2220"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clinic Pharmacy of Monticello",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monticello, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.