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DELTA DRUG OF DERMOTT, INC
NPI 1124702592
Pharmacy - Long Term Care Pharmacy in Dermott, AR

Active since June 14, 2023CLIA 04D2188886 · Waiver
111 E PEDDICORD ST, DERMOTT, AR 71638(870) 538-5233(870) 538-5717 Get Directions Write a Review

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

About Delta Drug Of Dermott, Inc NPPES

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

DELTA DRUG OF DERMOTT, INC (NPI 1124702592), doing business as Delta Drug Of Dermott, is a healthcare organization registered as a long term care pharmacy in Dermott, Arkansas and active in the NPI registry since June 2023. The organization holds a CLIA Waiver certificate valid through July 22, 2028 and lists Calley Mcnemar, Manager, as its authorized official.

NPPES Registry Identity

NPI1124702592
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameDELTA DRUG OF DERMOTT, INC
Location Address111 E PEDDICORD STDermott, AR 71638-2314
Mailing AddressPo Box 552Lake Village, AR 71653-0552 · (870) 265-2220 · Fax (870) 265-2226
Phone(870) 538-5233
Fax(870) 538-5717
Organization SubpartNo
Authorized OfficialCalley McnemarManager · (870) 265-2220
Enumeration DateJune 14, 2023
NPPES CertifiedJune 6, 2023
✔ NPI 1124702592 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.
111 E PEDDICORD ST, Dermott, AR 71638
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Other Names 1

Doing Business AsDelta Drug Of Dermott

Other Identifiers 1

Medicaid100262407AR

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 04D2188886

Delta Drug Of Dermott Inc · Dermott, AR
Active · expires Jul 22, 2028
CLIA Number04D2188886
Laboratory TypePharmacy
Certificate Effective DateJuly 23, 2026
Certificate Expiration DateJuly 22, 2028
Laboratory DirectorMr. Khalil L. Crouse
Laboratory Phone(870) 538-5234
Laboratory LocationDelta Drug Of Dermott Inc111 East Peddicord Street, Dermott, AR 71638
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 6

Medicare supplier enrollment and the product categories Delta Drug carries, from the Medicare DMEPOS supplier directory.

Delta Drug

DMEPOS supplier · Dermott, AROperated by Delta Drug Of Dermott Inc
⋮

Does not accept Medicare assignment

Delta Drug has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20410163
Medicare Participant SinceNovember 23, 2020
Supplier Location111 E Peddicord StDermott, AR 71638
Phone(870) 538-5233
Supplier Specialties
Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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.

DELTA DRUG OF DERMOTT, INC
Pharmacy (Community/Retail Pharmacy)
111 E PEDDICORD ST
DERMOTT, AR 71638
Chicot County (870) 538-5510
CASE HENDERSON PHARMD
Pharmacist
111 E PEDDICORD ST
DERMOTT, AR 71638
Chicot County (870) 538-5233

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 Delta Drug Of Dermott, Inc's NPI number?

The NPI number for Delta Drug Of Dermott, Inc is 1124702592. It was assigned to this organization in the NPPES registry on June 14, 2023. The provider is doing business as Delta Drug of Dermott.

Where is Delta Drug Of Dermott, Inc located?

Delta Drug Of Dermott, Inc is located at 111 E Peddicord St, Dermott, AR 71638. The listed phone number is (870) 538-5233.

What is Delta Drug Of Dermott, Inc's specialty?

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

Does Delta Drug Of Dermott, Inc accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Delta Drug does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

Does Delta Drug Of Dermott, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D2188886) is associated with this NPI, valid through July 22, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Delta Drug Of Dermott, Inc 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 47 other insurers list Delta Drug Of Dermott, Inc 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 Delta Drug Of Dermott, Inc was last updated on June 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.