Clinical Specialty Infusions LLC

Primary specialty

Home Infusion Therapy PharmacyTaxonomy code 3336H0001X

License

AR20749 Issued in AR

Legal business name

CLINICAL SPECIALTY INFUSIONS LLC

Practice address

607 W Main St
Jacksonville, AR 72076-4431

Phone

(501) 436-8199

NPI assigned

Jan 19, 2016

Organization subpart

No

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

Authorized official

Name

Mark McMurry, BS PHARM

Title

Owner

Phone

(501) 650-4709

Specialties & licenses 5

Addresses

Other identifiers 1

Other names 1

• CSI PHARMACY Doing business as

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

{
    "created_epoch": "1453161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484697600000",
    "number": "1457718751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 W MAIN ST",
            "city": "JACKSONVILLE",
            "state": "AR",
            "postal_code": "720764431",
            "telephone_number": "501-436-8199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 W MAIN ST",
            "city": "JACKSONVILLE",
            "state": "AR",
            "postal_code": "720764431",
            "telephone_number": "501-436-8199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL SPECIALTY INFUSIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-19",
        "last_updated": "2017-01-18",
        "status": "A",
        "authorized_official_last_name": "MCMURRY",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-650-4709",
        "authorized_official_credential": "BS PHARM"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "AR",
            "license": "AR20749",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2155139",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CSI PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Angela Clark, LPC
• Brianni Clark
• Kala Allene Clark, MHPP
• Meagan Nichole Clark, CNA
• Casey Marie Cline, COTA/L
• Melissa Sue Cohen, MMT, LE
• David Cole, DDS
• Christasia Coleman, LPC
• Tracy Laurel Coleman, LPC
• Michelle Coley, LAC

• Home Infusion Therapy Pharmacy in Jacksonville, AR
• Providers in Jacksonville, AR by specialty
• Home Infusion Therapy Pharmacy in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2017; 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.