C.B. Panneck Pharmacies, Inc.

Primary specialty

PharmacistTaxonomy code 183500000X

License

AR13221 Issued in AR

Legal business name

C.B. PANNECK PHARMACIES, INC.

Doing business as

dba/ St. Francis Pharmacy

Practice address

210 Cobean Blvd
Suite 10
Lake City, AR 72437-9704

Phone

(870) 237-8215

Fax

(870) 237-8517

NPI assigned

Feb 16, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Christopher Brent Panneck, PHARM D

Title

President/Pharmacist in CHG

Phone

(870) 237-8215

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• dba/ St. Francis Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326672000000",
    "number": "1811031446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 COBEAN BLVD STE 10",
            "city": "LAKE CITY",
            "state": "AR",
            "postal_code": "724379704",
            "telephone_number": "870-237-8215",
            "fax_number": "870-237-8517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 COBEAN BLVD",
            "address_2": "SUITE 10",
            "city": "LAKE CITY",
            "state": "AR",
            "postal_code": "724379704",
            "telephone_number": "870-237-8215",
            "fax_number": "870-237-8517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C.B. PANNECK PHARMACIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2012-01-16",
        "status": "A",
        "authorized_official_last_name": "PANNECK",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "BRENT",
        "authorized_official_title_or_position": "PRESIDENT/PHARMACIST IN CHG",
        "authorized_official_telephone_number": "870-237-8215",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "AR",
            "license": "AR13221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "187407407",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "dba/ St. Francis Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• A Time for Peace PLLC
• Arcare (ARcare 65)
• CHC Lakeside Nursing Center, LLC (Lakeside Health and Rehab)
• Cynthia A Conner, CCC-SLP
• Ashley Daffron, LADAC, AADC
• Eye Care of Trumann, Inc (Angela Howell, OD)
• Matthew Michael Harmon

• Pharmacist in Lake City, AR
• Providers in Lake City, AR by specialty
• Pharmacist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2012; 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.