MARSHALL MEDIC PHARMACY, INC. NPI 1992848493

Pharmacy (Community/Retail Pharmacy) in Marshall, AR

NPI 1992848493 Organization Pharmacy Community/Retail Pharmacy Medicare Supplier Accepts Medicare Approved Payment

About MARSHALL MEDIC PHARMACY, INC.

Marshall Medic Pharmacy, Inc. is a provider established in Marshall, Arkansas specializing in pharmacy (community/retail pharmacy) . The NPI number of Marshall Medic Pharmacy, Inc. is 1992848493 and was assigned on February 2007. The practitioner's primary taxonomy code is 3336C0003X with license number 19172 (AR). The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Jeanie Horton Pharm.d. (Pharmacist In Charge)

Marshall Medic Pharmacy, Inc. is a medicare supplier with PTAN 1094680001 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Immunosuppressive Drugs or Oral Anticancer Drugs or Nebulizer Drugs or Blood Glucose Monitors/Supplies (Non-Mail Order) or Oral Antiemetic Drugs.

NPI

1992848493

Provider NameMARSHALL MEDIC PHARMACY, INC.
Provider Location Address243 HWY 65 NORTH MARSHALL, AR 72650
Provider Mailing AddressPO BOX 427 MARSHALL, AR 72650
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date02-14-2007
Last Update Date08-08-2016


Primary Taxonomy

Taxonomy Code3336C0003X
ClassificationPharmacy
TypeSuppliers
SpecializationCommunity/Retail Pharmacy
License No.19172
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

MARSHALL MEDIC PHARMACY, INC.
243 HWY 65 NORTH
MARSHALL, AR
ZIP 72650
Phone: (870) 448-3614
Fax: (870) 448-5143

Get Directions


Mailing Address

MARSHALL MEDIC PHARMACY, INC.
PO BOX 427
MARSHALL, AR
ZIP 72650
Phone: (870) 448-3614
Fax: (870) 448-5143



Authorized Official

Authorized Official Name JEANIE HORTON PHARM.D.
Authorized Official TitlePHARMACIST IN CHARGE
Authorized Official Phone(870) 448-3614

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN1094680001
Accepts Medicare AssignmentYES
Specialities ListPharmacy.
Supplies List
  • Immunosuppressive Drugs - Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
  • Oral Anticancer Drugs - FDA anticancer drugs
  • Nebulizer Drugs - Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
  • 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
  • Oral Antiemetic Drugs - FDA antiemetic drugs
Competitive BiddingNO

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
13336L0003XSuppliersPharmacyLong Term Care PharmacyAR-19172ARNo

Taxonomy Description: a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

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
100577407MEDICAID (05)AR
1094680001MEDICARE ID-TYPE UNSPECIFIED (04)AR

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.