M & T Ventures LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

AR14590 Issued in AR

Legal business name

M & T VENTURES LLC

Doing business as

Sam Alexander Pharmacy

Practice address

127 N Main St
Harrison, AR 72601-4227

Phone

(870) 741-6511

Fax

(870) 365-0216

NPI assigned

Aug 6, 2010

Organization subpart

No

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

Authorized official

Name

Tara Willmott

Title

Pharmd

Phone

(870) 741-6511

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Sam Alexander Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in AR2 enrollments

Enrollment records 2

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

{
    "created_epoch": "1281052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487635200000",
    "number": "1518271139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 N MAIN ST",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726014227",
            "telephone_number": "870-741-6511",
            "fax_number": "870-365-0216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 N MAIN ST",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726014227",
            "telephone_number": "870-741-6511",
            "fax_number": "870-365-0216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M & T VENTURES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-06",
        "last_updated": "2017-02-21",
        "status": "A",
        "authorized_official_last_name": "WILLMOTT",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "PHARMD",
        "authorized_official_telephone_number": "870-741-6511"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AR",
            "license": "AR14590",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2126195",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sam Alexander Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lowell D. Williams, DDS, Ms LLC (Happy Kidds Dentistry)
• Candy Lowery, LPC
• Charlotte Irene Lunsford, MS,CCC-SLP
• Lynn Keener, D.D.S., P.a.
• M & T Ventures LLC (Sam Alexander Pharmacy)
• Ryan Avery Madison, DO
• Stephen R. Maes, M.D.
• Cindy Dawn Magness
• Alexis M Mallett, MD
• Stephanie L Mallett, APRN

• Community/Retail Pharmacy in Harrison, AR
• Providers in Harrison, 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 Feb 21, 2017; 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.