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SUPER V DRUGS VACCINES
NPI 1245635572
Pharmacy - Community/Retail Pharmacy in Jonesboro, AR

Active since October 29, 2014CLIA 04D2185054 · Waiver
1000-A EAST MATTHEWS AVE., JONESBORO, AR 72401(870) 972-6470(870) 972-0710 Get Directions Write a Review

NPPES record last updated: October 29, 2014. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Super V Drugs Vaccines NPPES

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

SUPER V DRUGS VACCINES (NPI 1245635572) is a healthcare organization registered as a community/retail pharmacy in Jonesboro, Arkansas and active in the NPI registry since October 2014. The organization holds a CLIA Waiver certificate valid through May 27, 2028 and lists Kristy Reed, Owner/pharmacist, as its authorized official.

NPPES Registry Identity

NPI1245635572
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSUPER V DRUGS VACCINES
Location Address1000-A EAST MATTHEWS AVE.Jonesboro, AR 72401
Mailing Address1000 E Matthews Ave Ste AJonesboro, AR 72401-4344 · (870) 972-6470 · Fax (870) 972-0710
Phone(870) 972-6470
Fax(870) 972-0710
Organization SubpartYesParent: Pat's Super V Drugstore, Inc.
Authorized OfficialKristy ReedOwner/pharmacist · (870) 972-6470
Enumeration DateOctober 29, 2014
✔ NPI 1245635572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in AR · AR10821
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
1000-A EAST MATTHEWS AVE., Jonesboro, AR 72401
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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 04D2185054

Super V Drugs · Jonesboro, AR
Active · expires May 27, 2028
CLIA Number04D2185054
Laboratory TypePharmacy
Certificate Effective DateMay 28, 2026
Certificate Expiration DateMay 27, 2028
Laboratory DirectorKristy L. Reed
Laboratory Phone(870) 972-6470
Laboratory LocationSuper V Drugs1000-A East Matthews Ave, Jonesboro, AR 72401
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

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

KRISTY REED
Pharmacist
1000-A EAST MATTHEWS AVE.
JONESBORO, AR 72401
Craighead County (870) 972-6470

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 Super V Drugs Vaccines's NPI number?

The NPI number for Super V Drugs Vaccines is 1245635572. It was assigned to this organization in the NPPES registry on October 29, 2014.

Where is Super V Drugs Vaccines located?

Super V Drugs Vaccines is located at 1000-A East Matthews Ave., Jonesboro, AR 72401. The listed phone number is (870) 972-6470.

What is Super V Drugs Vaccines's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Super V Drugs Vaccines hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D2185054) is associated with this NPI, valid through May 27, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Super V Drugs Vaccines was last updated on October 29, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.