DEAN'S PHARMACY #3 (DEANS PHARMACIES INC) NPI 1396984498

Pharmacy (Community/Retail Pharmacy) in Marianna, AR

NPI 1396984498 Organization Pharmacy Community/Retail Pharmacy CLIA Number 04D2189403 CLIA Certificate of Waiver

About DEAN'S PHARMACY #3 (DEANS PHARMACIES INC)

Dean's Pharmacy #3 (deans Pharmacies Inc) is a provider established in Marianna, Arkansas specializing in pharmacy (community/retail pharmacy) . The NPI number of Dean's Pharmacy #3 (deans Pharmacies Inc) is 1396984498 and was assigned on February 2009. The practitioner's primary taxonomy code is 3336C0003X with license number AR20599 (AR). The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Dean's Pharmacy #3. The authorized official of this NPI record is Howard Watts (President)

The CLIA number of Dean's Pharmacy #3 is 04D2189403 registered as a "pharmacy" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to Dean's Pharmacy #3 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.

NPI

1396984498

Provider NameDEAN'S PHARMACY #3 (DEANS PHARMACIES INC)
Provider Location Address311 W CHESTNUT ST MARIANNA, AR 72360
Provider Mailing Address311 W CHESTNUT ST MARIANNA, AR 72360
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameDEAN'S PHARMACY #3
Other Name TypeDoing Business As (3)
Enumeration Date02-12-2009
Last Update Date03-30-2016


Primary Taxonomy

Taxonomy Code3336C0003X
ClassificationPharmacy
TypeSuppliers
SpecializationCommunity/Retail Pharmacy
License No.AR20599
License StateAR
Taxonomy DescriptionA 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.

Business Address

DEAN'S PHARMACY #3
311 W CHESTNUT ST
MARIANNA, AR
ZIP 72360
Phone: (870) 295-4100
Fax: (870) 295-4102

Get Directions


Mailing Address

DEAN'S PHARMACY #3
311 W CHESTNUT ST
MARIANNA, AR
ZIP 72360
Phone: (870) 295-4100
Fax: (870) 295-4102



Authorized Official

Authorized Official Name HOWARD WATTS
Authorized Official TitlePRESIDENT
Authorized Official Phone(870) 296-4100

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 the NPI number 1396984498 is:

CLIA Number04D2189403
Facility TypePHARMACY
Certificate TypeCertificate of Waiver

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
13336S0011XSuppliersPharmacySpecialty PharmacyNo

Taxonomy Description: a pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
2118976OTHER (01)
175415407MEDICAID (05)AR

Other Providers at the same location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1255758090 JACQUE CHARLES PD
Individual
Pharmacist311 W CHESTNUT ST
MARIANNA, AR 72360
(870) 295-4100
1598354029DR. STEVE A. JONES PD
Individual
Pharmacist311 W CHESTNUT ST
MARIANNA, AR 72360
(870) 295-4100

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.