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SMITHS COUNTRY CLUB DRUG STORE INC
NPI 1508847179
Durable Medical Equipment & Medical Supplies in Little Rock, AR

Active since November 09, 2005
5114 KAVANAUGH BLVD, LITTLE ROCK, AR 72207(501) 663-4118(501) 663-4110 Get Directions Write a Review

NPPES record last updated: September 2, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Smiths Country Club Drug Store Inc NPPES

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

SMITHS COUNTRY CLUB DRUG STORE INC (NPI 1508847179) is a healthcare organization registered as a durable medical equipment & medical supplies in Little Rock, Arkansas and active in the NPI registry since November 2005. The organization lists Patricia Ann Ingels, Billing Agent, as its authorized official.

NPPES Registry Identity

NPI1508847179
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameSMITHS COUNTRY CLUB DRUG STORE INC
Location Address5114 KAVANAUGH BLVDLittle Rock, AR 72207-4607
Mailing Address5114 Kavanaugh BlvdLittle Rock, AR 72207-4607 · (501) 663-4118 · Fax (501) 663-4110
Phone(501) 663-4118
Fax(501) 663-4110
Organization SubpartNo
Authorized OfficialPatricia Ann IngelsBilling Agent · (501) 663-4118
Enumeration DateNovember 9, 2005
Last NPPES UpdateSeptember 2, 2011
✔ NPI 1508847179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
5114 KAVANAUGH BLVD, Little Rock, AR 72207
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Other Identifiers 2

Medicaid0419211IL
Medicare NSC1217280001

Medical Equipment Supplier Medicare DMEPOS 13

Medicare supplier enrollment and the product categories Smiths Country Club Drug Store carries, from the Medicare DMEPOS supplier directory.

Smiths Country Club Drug Store

DMEPOS supplier · Little Rock, AROperated by Smiths Country Club Drug Store Inc
✔

Accepts Medicare assignment

Smiths Country Club Drug Store 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)20601671
Medicare Participant SinceJanuary 3, 2003
Supplier Location5114 Kavanaugh BlvdLittle Rock, AR 72207
Phone(501) 663-4118
Supplier Specialties
Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
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
Commodes, Urinals, Bedpans
Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals
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 2

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

MRS. PATRICIA ANN INGELS RPH
Pharmacist
5114 KAVANAUGH BLVD
LITTLE ROCK, AR 72207
Pulaski County (501) 663-4118
SMITHS COUNTRY CLUB DRUG STORE INC
Pharmacy (Community/Retail Pharmacy)
5114 KAVANAUGH BLVD
LITTLE ROCK, AR 72207
Pulaski County (501) 663-4118

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 Smiths Country Club Drug Store Inc's NPI number?

The NPI number for Smiths Country Club Drug Store Inc is 1508847179. It was assigned to this organization in the NPPES registry on November 9, 2005.

Where is Smiths Country Club Drug Store Inc located?

Smiths Country Club Drug Store Inc is located at 5114 Kavanaugh Blvd, Little Rock, AR 72207. The listed phone number is (501) 663-4118.

What is Smiths Country Club Drug Store Inc's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Does Smiths Country Club Drug Store Inc accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Smiths Country Club Drug Store accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

When was this NPI record last updated?

The NPPES record for Smiths Country Club Drug Store Inc was last updated on September 2, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.