MITCHELL'S PARK STREET PHARMACY, INC.
NPI 1295554293
Pharmacy - Long Term Care Pharmacy in Calico Rock, AR
NPI Status: Active since October 07, 2024
Contact Information
526 PARK ST
CALICO ROCK, AR
ZIP 72519
Phone: (870) 297-8107
- Organization
- Pharmacy
- Long Term Care Pharmacy
- Medicare Supplier
- Accepts Medicare Approved Payment
- CLIA Number: 04D2235853
- CLIA Cert. Type: Pharmacy
- CLIA Exp. Date: 09-12-2027
About MITCHELL'S PARK STREET PHARMACY, INC.
This page provides the complete NPI Profile along with additional information for Mitchell's Park Street Pharmacy, Inc., a provider established in Calico Rock, Arkansas operating as a Pharmacy, focusing in long term care pharmacy . The healthcare provider is registered in the NPI registry with number 1295554293 assigned on October 2024. The practitioner's primary taxonomy code is 3336L0003X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Sarah Beth Mitchell Pharm D (President/pharmacist In Charge)
- NPI
- 1295554293
- Provider Name
- MITCHELL'S PARK STREET PHARMACY, INC.
- Entity Type
- Organization
- Location Address
- 526 PARK ST CALICO ROCK, AR 72519
- Location Phone
- (870) 297-8107
- Mailing Address
- PO BOX 569 CALICO ROCK, AR 72519
- Mailing Phone
- (870) 297-8817
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-07-2024
- Last Update Date
- 10-07-2024
- Code Navigator
Mitchell's Park Street Pharmacy, Inc. is a medicare supplier with PTAN 34356500 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: Immunosuppressive Drugs or Nebulizer Drugs or Oral Anticancer Drugs or Oral Antiemetic Drugs.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pharmacy Long Term Care Pharmacy
- Taxonomy Code
- 3336L0003X
- Type
- Suppliers
- Taxonomy Description
- 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.
Medical Equipment Supplier
The provider carries the following medical supplies product categories:
- PTAN
- 34356500
- Accepts Medicare Assignment
- YES
- Specialities List
- Pharmacy.
- Competitive Bidding
- NO
Supplies List
- 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
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 this NPI number is:
- CLIA Number
- 04D2235853
- Facility Type
- Pharmacy
- Certificate Effective Date
- September 13, 2025
- Certificate Expiration Date
- September 12, 2027
- Laboratory Director
- MS. SARAH B. MITCHELL
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Mitchell's Park Street Pharmacy, Inc. 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.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1295554293, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 67 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 4 providers are registered at the same or a nearby location.
CALICO ROCK, AR 72519
CALICO ROCK, AR 72519
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1295554293, enumerated as an "organization" on October 07, 2024.
The provider is located at 526 PARK ST CALICO ROCK, AR 72519 and the phone number is (870) 297-8107.
Pharmacy with taxonomy code 3336L0003X and a focus in Long Term Care Pharmacy.
