Mitchells Park Street Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

AR20214 Issued in AR

Legal business name

MITCHELLS PARK STREET PHARMACY INC

Doing business as

Mitchells Park Street Pharmacy

Practice address

526 Park St
Calico Rock, AR 72519-9070

Phone

(870) 297-8107

Fax

(870) 297-8799

NPI assigned

Sep 23, 2005

Last updated

Jul 5, 2016By 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 Mitchell, PHARM DNPI 1194208074

Title

President

Phone

(870) 297-8107

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• MITCHELLS PARK STREET PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in AR2 enrollments

Enrollment records 2

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": "1127433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467676800000",
    "number": "1487640579",
    "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": "870-297-8107"
        },
        {
            "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",
            "fax_number": "870-297-8799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITCHELLS PARK STREET PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-23",
        "last_updated": "2016-07-05",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "870-297-8107",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AR",
            "license": "AR20214",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1994893",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100056407",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MITCHELLS PARK STREET PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shad Ashley McClain, D.C.
• Medical Center Clinic of Izard County LLC
• Hope Menendez, DPT
• Sarah Beth Mitchell, PHARM. D.
• Mitchell's Park Street Pharmacy, Inc. (Mitchell's Park Street Pharmacy LTC)
• Mitchells Park Street Pharmacy Inc
• Paul Morgan
• Thelma Jane Owens, NP-C
• Partee Franchise, LLC (Triple S Pharmacy)
• Lesley J Sanders

• Community/Retail Pharmacy in Calico Rock, AR
• Providers in Calico Rock, AR by specialty
• Community/Retail Pharmacy in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.