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COLLIER DRUG - PRAIRIE GROVE
NPI 1619660198
Pharmacy - Long Term Care Pharmacy in Prairie Grove, AR

Active since May 31, 2023CLIA 04D2275312 · Waiver
801 E DOUGLAS ST, PRAIRIE GROVE, AR 72753(479) 246-2195(479) 846-2147 Get Directions Write a Review

NPPES record last updated: February 20, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 10, 2023, May 31, 2023 (2 updates tracked since 2023).

About Collier Drug - Prairie Grove NPPES

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

COLLIER DRUG - PRAIRIE GROVE (NPI 1619660198) is a healthcare organization registered as a long term care pharmacy in Prairie Grove, Arkansas and active in the NPI registry since May 2023. The organization holds a CLIA Waiver certificate valid through January 18, 2027 and lists Carl Melvin Collier, Owner, as its authorized official.

NPPES Registry Identity

NPI1619660198
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameCOLLIER DRUG STORES INC
Location Address801 E DOUGLAS STPrairie Grove, AR 72753-2737
Mailing AddressPo Box 1085Fayetteville, AR 72702-1085 · (479) 442-6262 · Fax (479) 521-9111
Phone(479) 246-2195
Fax(479) 846-2147
Organization SubpartNo
Authorized OfficialCarl Melvin CollierOwner · (479) 442-6262
Enumeration DateMay 31, 2023
Last NPPES UpdateFebruary 20, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 20, 2024
✔ NPI 1619660198 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
Definition
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.
801 E DOUGLAS ST, Prairie Grove, AR 72753
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Other Names 1

Doing Business AsCollier Drug - Prairie Grove

Other Identifiers 1

Medicaid145056407AR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.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 04D2275312

Collier Drug - Prairie Grove · Prairie Grove, AR
Active · expires Jan 18, 2027
CLIA Number04D2275312
Laboratory TypePharmacy
Certificate Effective DateJanuary 19, 2025
Certificate Expiration DateJanuary 18, 2027
Laboratory DirectorTrenton Dunn
Laboratory Phone(479) 846-2195
Laboratory LocationCollier Drug - Prairie Grove801 E Douglas, Prairie Grove, AR 72753
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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.

COLLIER DRUG STORES INC
Pharmacy (Community/Retail Pharmacy)
801 E DOUGLAS ST
PRAIRIE GROVE, AR 72753
Washington County (479) 846-2195
TRENTON COLBY DUNN PHARM.D.
Pharmacist
801 E DOUGLAS ST
PRAIRIE GROVE, AR 72753
Washington County (479) 846-2195

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 Collier Drug Stores Inc's NPI number?

The NPI number for Collier Drug Stores Inc is 1619660198. It was assigned to this organization in the NPPES registry on May 31, 2023. The provider is doing business as Collier Drug - Prairie Grove.

Where is Collier Drug Stores Inc located?

Collier Drug Stores Inc is located at 801 E Douglas St, Prairie Grove, AR 72753. The listed phone number is (479) 246-2195.

What is Collier Drug Stores Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

Does Collier Drug Stores Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D2275312) is associated with this NPI, valid through January 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Collier Drug Stores Inc 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 35 other insurers list Collier Drug Stores Inc 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 Collier Drug Stores Inc was last updated on February 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.