Organization Active NPI

Mitchell's Main Street Pharmacy LTC, Inc

  • Long Term Care Pharmacy
  • Mountain View, AR
National Provider Identifier
1477319861
Registry record updated Feb 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
MITCHELL'S MAIN STREET PHARMACY LTC, INC
Practice address
214 E Main St
Mountain View, AR 72560-6401
Phone
(870) 269-3253
Fax
(870) 269-3253
NPI assigned
Feb 23, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2024

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

Authorized official

Name
Edward J MitchellNPI 1497351159
Title
Pharmacy Owner
Phone
(870) 269-3253

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

214 E Main St
Mountain View, AR 72560-6401

Mailing address

PO Box 2798
Mountain View, AR 72560-2798
Phone (870) 269-3253

National Provider Directory

National Provider Directory
Tax ID family
Mitchells Main Street Pharm2 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.

Locations

214 E Main St
Mountain View, AR 72560
Phone (870) 269-3253

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1708646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708646400000",
    "number": "1477319861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2798",
            "city": "MOUNTAIN VIEW",
            "state": "AR",
            "postal_code": "725602798",
            "telephone_number": "870-269-3253",
            "fax_number": "870-269-5120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 E MAIN ST",
            "city": "MOUNTAIN VIEW",
            "state": "AR",
            "postal_code": "725606401",
            "telephone_number": "870-269-3253",
            "fax_number": "870-269-3253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITCHELL'S MAIN STREET PHARMACY LTC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-23",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHARMACY OWNER",
        "authorized_official_telephone_number": "870-269-3253"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain View, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2024; 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.