DEAN'S PHARMACY CLINIC NPI 1053745794

Pharmacy in De Witt, AR

NPI 1053745794 Organization Pharmacy Medicare Supplier Accepts Medicare Approved Payment CLIA Number 04D2188792 CLIA Certificate of Waiver

About DEAN'S PHARMACY CLINIC

Dean's Pharmacy Clinic is a provider established in De Witt, Arkansas specializing in pharmacy. The NPI number of Dean's Pharmacy Clinic is 1053745794 and was assigned on August 2013. The practitioner's primary taxonomy code is 333600000X with license number AR17661 (AR). The provider is registered as an organization and their NPI record was last updated 8 years ago. The authorized official of this NPI record is Brandyn England Pharmd (Pharmacist)

Dean's Pharmacy Clinic is a medicare supplier with PTAN 0416740001 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Nebulizer Drugs or Commodes, Urinals, Bedpans or Blood Glucose Monitors/Supplies (Non-Mail Order) or Blood Glucose Monitors/Supplies (Mail Order) or Canes and/or Crutches or Seat Lift Mechanisms or Walkers or Ostomy Supplies or Nebulizer Equipment and/or Supplies or Surgical Dressings.

The CLIA number of Dean's Pharmacy Clinic is 04D2188792 registered as a "pharmacy" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to Dean's Pharmacy Clinic to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

NPI

1053745794

Provider NameDEAN'S PHARMACY CLINIC
Provider Location Address1640 S WHITEHEAD DR DE WITT, AR 72042
Provider Mailing Address1640 S WHITEHEAD DR DE WITT, AR 72042
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date08-29-2013
Last Update Date08-29-2013


Primary Taxonomy

Taxonomy Code333600000X
ClassificationPharmacy
TypeSuppliers
License No.AR17661
License StateAR
Taxonomy DescriptionA facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

Business Address

DEAN'S PHARMACY CLINIC
1640 S WHITEHEAD DR
DE WITT, AR
ZIP 72042
Phone: (870) 946-2381
Fax: (870) 946-4286

Get Directions


Mailing Address

DEAN'S PHARMACY CLINIC
1640 S WHITEHEAD DR
DE WITT, AR
ZIP 72042
Phone: (870) 946-2381
Fax: (870) 946-4286



Authorized Official

Authorized Official Name BRANDYN ENGLAND PHARMD
Authorized Official TitlePHARMACIST
Authorized Official Phone(870) 946-2381

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN0416740001
Accepts Medicare AssignmentYES
Specialities ListPharmacy.
Supplies List
  • Nebulizer Drugs - Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
  • Commodes, Urinals, Bedpans - Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals
  • Blood Glucose Monitors/Supplies (Non-Mail Order) - Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
  • Blood Glucose Monitors/Supplies (Mail Order) - Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
  • Canes and/or Crutches - Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches
  • Seat Lift Mechanisms - Lift chair
  • Walkers - Standard Walkers, Wheeled Walkers, Folding Walker
  • Ostomy Supplies - Pouches, Paste, Powder, Barrier wipes
  • Nebulizer Equipment and/or Supplies - Nebulizers, Atomizers, Filters
  • Surgical Dressings - Gauze, Elastic bandages, Adhesive tape
Competitive BiddingNO

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for the NPI number 1053745794 is:

CLIA Number04D2188792
Facility TypePHARMACY
Certificate TypeCertificate of Waiver

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
133353407MEDICAID (05)AR

Other Providers at the same location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1720411903 BRANDYN TYLER ENGLAND PHARMD
Individual
Pharmacist1640 S WHITEHEAD DR
DE WITT, AR 72042
(870) 946-2381
1326476235DR. KAREN WATTS PHARMD
Individual
Pharmacist1640 S WHITEHEAD DR
DE WITT, AR 72042
(870) 946-2381
1033547948 HOWARD DEAN WATTS P.D.
Individual
Pharmacist1640 S WHITEHEAD DR
DE WITT, AR 72042
(870) 946-2381
1245663897 ABBY STATON PHARM. D
Individual
Pharmacist1640 S WHITEHEAD DR
DE WITT, AR 72042
(870) 946-2381
1003395435 SAMANTHA SPICER PHARMD
Individual
Pharmacist1640 S WHITEHEAD DR
DE WITT, AR 72042
(870) 946-2381
1811902091DEANS PHARMACIES, INC.
Organization
Pharmacy (Community/Retail Pharmacy)1640 S WHITEHEAD DR
DEWITT, AR 72042
(870) 946-2381

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.