PALACE DRUG
NPI 1356329650
Pharmacy in Mammoth Spring, AR

Active since January 06, 2006CLIA 04D2209681 · Waiver
270 MAIN STREET,, MAMMOTH SPRING, AR 72554(870) 625-3222(870) 625-3216 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Palace Drug NPPES

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

PALACE DRUG (NPI 1356329650) is a healthcare organization registered as a pharmacy in Mammoth Spring, Arkansas and active in the NPI registry since January 2006. The organization holds a CLIA Waiver certificate valid through January 14, 2027 and lists Vicki Clayton Fowlkes, Ownner, as its authorized official.

NPPES Registry Identity

NPI1356329650
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameV & K PRN, INC
Location Address270 MAIN STREET,Mammoth Spring, AR 72554
Mailing AddressPo Box 7Mammoth Spring, AR 72554-0007 · (870) 625-3222 · Fax (870) 625-3216
Fax(870) 625-3216
Organization SubpartNo
Authorized OfficialVicki Clayton FowlkesOwnner · (870) 625-3222
Enumeration DateJanuary 6, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1356329650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License Licensed in AR · 008789
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
270 MAIN STREET,, Mammoth Spring, AR 72554

Other Names 1

Doing Business AsPalace Drug

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 04D2209681

Palace Drug Burns Rx LLC · Mammoth Spring, AR
Active · expires Jan 14, 2027
CLIA Number04D2209681
Laboratory TypePharmacy
Certificate Effective DateJanuary 15, 2025
Certificate Expiration DateJanuary 14, 2027
Laboratory DirectorMichael J. Clark
Laboratory Phone(870) 625-3222
Laboratory LocationPalace Drug Burns Rx LLC270 Main St, Mammoth Spring, AR 72554
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 V & K Prn, Inc's NPI number?

The NPI number for V & K Prn, Inc is 1356329650. It was assigned to this organization in the NPPES registry on January 6, 2006. The provider is doing business as Palace Drug.

Where is V & K Prn, Inc located?

V & K Prn, Inc is located at 270 Main Street,, Mammoth Spring, AR 72554. The listed phone number is (870) 625-3222.

What is V & K Prn, Inc's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Does V & K Prn, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D2209681) is associated with this NPI, valid through January 14, 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 V & K Prn, Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.