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MITCHELL'S PARK STREET PHARMACY, INC.
NPI 1295554293
Pharmacy - Long Term Care Pharmacy in Calico Rock, AR

Active since October 07, 2024CLIA 04D2235853 · Waiver
526 PARK ST, CALICO ROCK, AR 72519(870) 297-8107 Get Directions Write a Review

NPPES record last updated: October 7, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mitchell's Park Street Pharmacy, Inc. NPPES

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

MITCHELL'S PARK STREET PHARMACY, INC. (NPI 1295554293), doing business as Mitchell's Park Street Pharmacy Ltc, is a healthcare organization registered as a long term care pharmacy in Calico Rock, Arkansas and active in the NPI registry since October 2024. The organization holds a CLIA Waiver certificate valid through September 12, 2027 and lists Sarah Beth Mitchell, President/pharmacist In Charge, as its authorized official.

NPPES Registry Identity

NPI1295554293
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameMITCHELL'S PARK STREET PHARMACY, INC.
Location Address526 PARK STCalico Rock, AR 72519-9070
Mailing AddressPo Box 569Calico Rock, AR 72519-0569 · (870) 297-8817
Phone(870) 297-8107
Organization SubpartNo
Authorized OfficialSarah Beth MitchellPresident/pharmacist In Charge · (870) 297-8107
Enumeration DateOctober 7, 2024
NPPES CertifiedOctober 7, 2024
✔ NPI 1295554293 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.
526 PARK ST, Calico Rock, AR 72519
Open in Google Maps ↗

Other Names 1

Doing Business AsMitchell's Park Street Pharmacy Ltc

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 04D2235853

Mitchell's Park Street Pharmacy, Inc · Calico Rock, AR
Active · expires Sep 12, 2027
CLIA Number04D2235853
Laboratory TypePharmacy
Certificate Effective DateSeptember 13, 2025
Certificate Expiration DateSeptember 12, 2027
Laboratory DirectorMs. Sarah B. Mitchell
Laboratory Phone(870) 297-8107
Laboratory LocationMitchell's Park Street Pharmacy, Inc526 Park Street, Calico Rock, AR 72519
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 4

Medicare supplier enrollment and the product categories Mitchell's Park Street Pharmacy carries, from the Medicare DMEPOS supplier directory.

Mitchell's Park Street Pharmacy

DMEPOS supplier · Calico Rock, AROperated by Mitchells Park Street Pharmacy Inc
✔

Accepts Medicare assignment

Mitchell's Park Street Pharmacy agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)34356500
Medicare Participant SinceSeptember 7, 2023
Supplier Location526 Park StCalico Rock, AR 72519
Phone(870) 297-8107
Supplier Specialties
Pharmacy

Medicare Product Categories

Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
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 4

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

SARAH BETH MITCHELL PHARM. D.
Pharmacist
526 PARK ST
CALICO ROCK, AR 72519
Izard County (870) 297-8107
KELSEY GOCKE PHARM. D.
Pharmacist
526 PARK ST
CALICO ROCK, AR 72519
Izard County (870) 297-8107
MITCHELLS PARK STREET PHARMACY INC
Pharmacy (Community/Retail Pharmacy)
526 PARK ST
CALICO ROCK, AR 72519
Izard County (870) 297-8107
MITCHELLS PARK STREET PHARMACY INC
Durable Medical Equipment & Medical Supplies
526 PARK ST
CALICO ROCK, AR 72519
Izard County (870) 297-8107

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 Mitchell's Park Street Pharmacy, Inc.'s NPI number?

The NPI number for Mitchell's Park Street Pharmacy, Inc. is 1295554293. It was assigned to this organization in the NPPES registry on October 7, 2024. The provider is doing business as Mitchell's Park Street Pharmacy LTC.

Where is Mitchell's Park Street Pharmacy, Inc. located?

Mitchell's Park Street Pharmacy, Inc. is located at 526 Park St, Calico Rock, AR 72519. The listed phone number is (870) 297-8107.

What is Mitchell's Park Street Pharmacy, Inc.'s specialty?

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

Does Mitchell's Park Street Pharmacy, Inc. accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Mitchell's Park Street Pharmacy accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Mitchell's Park Street Pharmacy, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D2235853) is associated with this NPI, valid through September 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mitchell's Park Street Pharmacy, Inc. was last updated on October 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.