COLEMAN PHARMACY
NPI 1407844855
Pharmacy - Community/Retail Pharmacy in Fort Smith, AR

Active since October 10, 2005CLIA 04D2190812 · Waiver
3610 GRAND AVE, FORT SMITH, AR 72904(479) 783-5171(479) 783-0433 Get Directions Write a Review

NPPES record last updated: March 14, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 14, 2019, Feb 4, 2019, Jul 20, 2017 (3 updates tracked since 2017).

About Coleman Pharmacy NPPES

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

COLEMAN PHARMACY (NPI 1407844855) is a healthcare organization registered as a community/retail pharmacy in Fort Smith, Arkansas and active in the NPI registry since October 2005. The organization holds a CLIA Waiver certificate valid through August 18, 2026 and lists Michael David Butler, President, as its authorized official.

NPPES Registry Identity

NPI1407844855
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameCOLEMAN BUTLER FT SMITH LLC
Location Address3610 GRAND AVEFort Smith, AR 72904-6842
Mailing Address3610 Grand AveFort Smith, AR 72904-6842 · (479) 783-5171 · Fax (479) 783-0433
Fax(479) 783-0433
Organization SubpartNo
Authorized OfficialMichael David ButlerPresident · (479) 783-5171
Enumeration DateOctober 10, 2005
Last NPPES UpdateMarch 14, 20193 updates tracked since enumeration
NPI 1407844855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License Licensed in AR · AR10908
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.
Also ListedPharmacyTaxonomy 333600000X
3610 GRAND AVE, Fort Smith, AR 72904

Other Names 1

Doing Business AsColeman Pharmacy

Other Identifiers 3

Medicaid100239790AOK
Other1994117Pk
Medicaid100228407AR

Accepted Insurance

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 04D2190812

Coleman Pharmacy · Fort Smith, AR
Active · expires Aug 18, 2026
CLIA Number04D2190812
Laboratory TypePharmacy
Certificate Effective DateAugust 19, 2024
Certificate Expiration DateAugust 18, 2026
Laboratory DirectorCody R. Turner
Laboratory Phone(479) 783-5171
Laboratory LocationColeman Pharmacy3610 Grand Ave, Fort Smith, AR 72904
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
159 services159 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
149 services149 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
20 services20 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
20 services20 patients

Medical Equipment Supplier Medicare DMEPOS 39

Medicare supplier enrollment and the product categories Coleman Butler Ft Smith LLC carries, from the Medicare DMEPOS supplier directory.

Coleman Butler Ft Smith LLC

DMEPOS supplier · Fort Smith, AR

Does not accept Medicare assignment

Coleman Butler Ft Smith LLC has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20460923
Medicare Participant SinceJuly 1, 2017
Supplier Location3610 Grand AveFort Smith, AR 72904
Provider TypeOxygen & Equipment
Supplier Specialties
Medical Supply Company Other Certified Other MSC With Respiratory Therapist Orthotic Personnel 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
Commodes, Urinals, Bedpans
Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals
Continuous Passive Motion (CPM) Devices
Knee CPM machines, Shoulder CPM machines, Hand & wrist CPM machines
Blood Glucose Monitors/Supplies (Non-Mail Order)
Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
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 10

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

Pharmacist
3610 GRAND AVE
FORT SMITH, AR 72904
Pharmacist
3610 GRAND AVE
FORT SMITH, AR 72904
Pharmacist
3610 GRAND AVE
FORT SMITH, AR 72904
Pharmacy (Long Term Care Pharmacy)
3610 GRAND AVE
FORT SMITH, AR 72904
Pharmacist
3610 GRAND AVE
FORT SMITH, AR 72904
Pharmacist
3610 GRAND AVE
FORT SMITH, AR 72904
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
3610 GRAND AVE
FORT SMITH, AR 72904
Pharmacist
3610 GRAND AVE
FORT SMITH, AR 72904

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 Coleman Butler Ft Smith LLC's NPI number?

The NPI number for Coleman Butler Ft Smith LLC is 1407844855. It was assigned to this organization in the NPPES registry on October 10, 2005. The provider is doing business as Coleman Pharmacy.

Where is Coleman Butler Ft Smith LLC located?

Coleman Butler Ft Smith LLC is located at 3610 Grand Ave, Fort Smith, AR 72904. The listed phone number is (479) 783-5171.

What is Coleman Butler Ft Smith LLC's specialty?

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

Does Coleman Butler Ft Smith LLC accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Coleman Butler Ft Smith LLC does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

Does Coleman Butler Ft Smith LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D2190812) is associated with this NPI, valid through August 18, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Coleman Butler Ft Smith LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 51 other insurers list Coleman Butler Ft Smith LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Coleman Butler Ft Smith LLC was last updated on March 14, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.