MONTICELLO DRUG COMPANY LLC
NPI 1063286607
Pharmacy - Long Term Care Pharmacy in Monticello, AR

Q: What is Monticello Drug Company LLC's NPI number?

The NPI number for Monticello Drug Company LLC is 1063286607. It was assigned to this organization in the NPPES registry on November 14, 2023. The provider is doing business as City Drug.

Q: What is Monticello Drug Company LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

Active since November 14, 2023CLIA 04D2284722 · Waiver

201 E GAINES ST, MONTICELLO, AR 71655(870) 367-5301(870) 460-0257 Get Directions Write a Review

NPPES record last updated: November 14, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Monticello Drug Company Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MONTICELLO DRUG COMPANY LLC (NPI 1063286607), doing business as City Drug, is a healthcare organization registered as a long term care pharmacy in Monticello, Arkansas and active in the NPI registry since November 2023. The organization holds a CLIA Waiver certificate valid through June 27, 2027 and lists Khalil Crouse, Owner, as its authorized official.

NPPES Registry Identity

NPI1063286607

Entity TypeOrganization

Primary Taxonomy3336L0003X

Legal Business NameMONTICELLO DRUG COMPANY LLC

Location Address201 E GAINES STMonticello, AR 71655-4903

Mailing AddressPo Box 552Lake Village, AR 71653-0552 · (870) 265-2220 · Fax (870) 265-2226

Phone(870) 367-5301

Fax(870) 460-0257

Organization SubpartNo

Authorized OfficialKhalil CrouseOwner · (870) 265-2220

Enumeration DateNovember 14, 2023

NPPES CertifiedNovember 14, 2023

✔ NPI 1063286607 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers

Taxonomy Code3336L0003X

Definition

A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

201 E GAINES ST, Monticello, AR 71655

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Other Names 1

Doing Business AsCity Drug

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 04D2284722

Monticello Drug Company · Monticello, AR

Active · expires Jun 27, 2027

CLIA Number04D2284722

Laboratory TypePharmacy

Certificate Effective DateJune 28, 2025

Certificate Expiration DateJune 27, 2027

Laboratory DirectorNikki Hood

Laboratory Phone(870) 367-5301

Laboratory LocationMonticello Drug Company201 E Gaines, Monticello, AR 71655

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CITY DRUG OF MONTICELLO INC

Durable Medical Equipment & Medical Supplies

201 E GAINES ST
MONTICELLO, AR 71655

Drew County (870) 367-5301

CANDACE BRITTANY PAUL PHARMD

Pharmacist

201 E GAINES ST
MONTICELLO, AR 71655

Drew County (870) 367-5301

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Monticello Drug Company LLC's NPI number?

The NPI number for Monticello Drug Company LLC is 1063286607. It was assigned to this organization in the NPPES registry on November 14, 2023. The provider is doing business as City Drug.

Where is Monticello Drug Company LLC located?

Monticello Drug Company LLC is located at 201 E Gaines St, Monticello, AR 71655. The listed phone number is (870) 367-5301.

What is Monticello Drug Company LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

Does Monticello Drug Company LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D2284722) is associated with this NPI, valid through June 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Monticello Drug Company LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 46 other insurers list Monticello Drug Company LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Monticello Drug Company LLC was last updated on November 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.