Caldwell Clinical Services LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CALDWELL CLINICAL SERVICES LLC

Practice address

804 Falls Blvd S
Wynne, AR 72396-3505

Phone

(870) 238-7085

Fax

(870) 238-8937

NPI assigned

Aug 19, 2021

Last updated

Aug 19, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Max Caldwell, PHARMDNPI 1538443551

Title

Owner/Ao

Phone

(870) 238-7085

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Max A Caldwell

  • Pharmacist
  • Wynne, AR
  • NPI 1538443551
  Authorized official Same address or phone

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

{
    "created_epoch": "1629331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629331200000",
    "number": "1902572977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 FALLS BLVD S",
            "city": "WYNNE",
            "state": "AR",
            "postal_code": "723963505",
            "telephone_number": "870-238-7085",
            "fax_number": "870-238-8937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 FALLS BLVD S",
            "city": "WYNNE",
            "state": "AR",
            "postal_code": "723963505",
            "telephone_number": "870-238-7085",
            "fax_number": "870-238-8937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALDWELL CLINICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-19",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A",
        "authorized_official_last_name": "CALDWELL",
        "authorized_official_first_name": "MAX",
        "authorized_official_title_or_position": "OWNER/AO",
        "authorized_official_telephone_number": "870-238-7085",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Hamilton Burrows, PHARMD
• Leanna Burton, LAC
• Laura Beth Butler, PTA
• Holden Wade Byassee, D.C
• Brandi Caffey, LCSW
• Caldwell Discount Drug
• Caldwell Discount Drug Co Inc
• Caldwell Discount Drug Co., Inc. (Caldwell Discount Drug Co Inc, LTC)
• Caldwell Discount Drug Co., Inc. (Caldwell Discount Drug)
• Ashia Caldwell, MHPP

• Family Medicine Physician in Wynne, AR
• Providers in Wynne, AR by specialty
• Family Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2021; 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.