NPIMap

Organization Active NPI

Collier Drug Stores, Inc.

Doing business as Collier Drug - Central Fill

  • Pharmacy
  • Cave Springs, AR
National Provider Identifier
1730950775
Registry record updated Jan 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
COLLIER DRUG STORES, INC.
Doing business as
Collier Drug - Central Fill
Practice address
260 S Gleneagle Dr Ste B
Cave Springs, AR 72718-6022
Phone
(479) 203-7014
Fax
(833) 702-2079
NPI assigned
Jan 9, 2024
Last updated
Jan 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2024

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

Authorized official

Name
Brittany Younger
Title
Human Resource Officer
Phone
(479) 935-4303

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU Primary

Addresses

Primary practice location

260 S Gleneagle Dr Ste B
Cave Springs, AR 72718-6022

Mailing address

100 W Dickson St
Fayetteville, AR 72701-5219
Phone (479) 935-4303

Other names 1

  • Collier Drug - Central Fill Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Collier Drug Stores Inc19 organizations share this tax ID, including this one

Other organizations with this tax ID 18

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

View all 18

Locations

260 S Gleneagle Dr
Ste B
Cave Springs, AR 72718
Phone (479) 203-7014

NPI Registry JSON

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

{
    "created_epoch": "1704758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705536000000",
    "number": "1730950775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W DICKSON ST",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727015219",
            "telephone_number": "479-935-4303",
            "fax_number": "479-521-9111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 S GLENEAGLE DR STE B",
            "city": "CAVE SPRINGS",
            "state": "AR",
            "postal_code": "727186022",
            "telephone_number": "479-203-7014",
            "fax_number": "833-702-2079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLIER DRUG STORES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-09",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A",
        "authorized_official_last_name": "YOUNGER",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_title_or_position": "HUMAN RESOURCE OFFICER",
        "authorized_official_telephone_number": "479-935-4303"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Collier Drug - Central Fill",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cave Springs, AR

Sources for this page

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