Organization Active NPI

College Pharmacy Inc

Doing business as Prince Pharmacy

  • Long Term Care Pharmacy
  • Magnolia, AR
National Provider Identifier
1609572551
Registry record updated Feb 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
COLLEGE PHARMACY INC
Doing business as
Prince Pharmacy
Practice address
211 E Stadium
Magnolia, AR 71753-2032
Phone
(870) 234-7292
NPI assigned
Feb 2, 2023
Organization subpart
Yes
Parent organization
COLLEGE PHARMACY INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 2, 2023

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

Authorized official

Name
Jeff Prince
Title
Owner
Phone
(870) 234-7292

Specialties & licenses 1

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

Addresses

Primary practice location

211 E Stadium
Magnolia, AR 71753-2032

Mailing address

211 E Stadium
Magnolia, AR 71753-2032
Phone (870) 234-7292

Other names 1

  • Prince Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
College Pharmacy2 organizations share this tax ID, including this one
Part of
College Pharmacy

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1675296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675296000000",
    "number": "1609572551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 E STADIUM",
            "city": "MAGNOLIA",
            "state": "AR",
            "postal_code": "717532032",
            "telephone_number": "870-234-7292",
            "fax_number": "870-234-4443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 E STADIUM",
            "city": "MAGNOLIA",
            "state": "AR",
            "postal_code": "717532032",
            "telephone_number": "870-234-7292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLEGE PHARMACY INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COLLEGE PHARMACY INC",
        "enumeration_date": "2023-02-02",
        "last_updated": "2023-02-02",
        "certification_date": "2023-01-27",
        "status": "A",
        "authorized_official_last_name": "PRINCE",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-234-7292"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prince Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Magnolia, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.