NPIMap

Organization Active NPI

Collier Pharmacy LLC

  • Community/Retail Pharmacy
  • Magnolia, AR
National Provider Identifier
1801895842
Registry record updated Feb 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
AR12039 Issued in AR
Legal business name
COLLIER PHARMACY LLC
Practice address
111 S Court SQ
Magnolia, AR 71753-3511
Phone
(870) 234-2011
Fax
(870) 234-5574
NPI assigned
Jul 20, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2017

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

Authorized official

Name
Erin Collier, PHARM D
Title
Owner
Phone
(870) 234-2011

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X AR12039 AR Primary

Addresses

Primary practice location

111 S Court SQ
Magnolia, AR 71753-3511

Mailing address

111 S Court SQ
Magnolia, AR 71753-3511
Phone (870) 234-2011

Other identifiers 2

IdentifierTypeStateIssuer
208050407MedicaidAR
2148531OtherPK

Other names 1

  • Millers Pharmacy Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487808000000",
    "number": "1801895842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 S COURT SQ",
            "city": "MAGNOLIA",
            "state": "AR",
            "postal_code": "717533511",
            "telephone_number": "870-234-2011",
            "fax_number": "870-234-5574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S COURT SQ",
            "city": "MAGNOLIA",
            "state": "AR",
            "postal_code": "717533511",
            "telephone_number": "870-234-2011",
            "fax_number": "870-234-5574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLIER PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-20",
        "last_updated": "2017-02-23",
        "status": "A",
        "authorized_official_last_name": "COLLIER",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-234-2011",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AR",
            "license": "AR12039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208050407",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2148531",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Millers 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 23, 2017; 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.