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Export Provider Record NPI 1063775666
Collier Drug Stores Inc
Organization Subpart: NO
Active
NPI Number1063775666
NPI TypeNPI-2 Organization
SpecialtyPharmacy, Compounding Pharmacy
Provider Details
NPI1063775666
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2012-06-19
Last Updated2024-02-20
Authorized OfficialMel Collier
owner
Phone: 4794426262
Mailing AddressPo Box 1085
Fayetteville, AR 72702-1085
United States
Phone: (479) 442-6262 | Fax: (479) 521-9111
📍 View Map
Primary Practice Address5203 Willow Creek Dr Ste 1
Springdale, AR 72762-0876
United States
Phone: (479) 935-4336
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
Other (non-Medicare)-2135550PK
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes3336C0004X – Pharmacy, Compounding PharmacyARAR20673
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About NPI 1063775666

Collier Drug Stores Inc is an organization registered in the CMS NPPES NPI Registry with NPI number 1063775666. The primary specialty listed is Pharmacy, Compounding Pharmacy. The organization is located in Springdale, AR. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2012-06-19. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1063775666?

NPI 1063775666 belongs to Collier Drug Stores Inc, a Pharmacy, Compounding Pharmacy in Springdale, AR. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1063775666 active?

The current status of NPI 1063775666 in the NPPES registry is Active. The record was last updated on 2024-02-20.

What specialty is NPI 1063775666?

NPI 1063775666 is classified under the taxonomy Pharmacy, Compounding Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1063775666?

You can verify NPI 1063775666 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1063775666?

The primary practice address on file for NPI 1063775666 is 5203 Willow Creek Dr Ste 1, Springdale, AR 72762-0876. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1063775666 issued?

NPI 1063775666 was first issued (enumerated) on 2012-06-19. The NPPES record was last updated on 2024-02-20.

Practice Location Map

Collier Drug Stores Inc is located at 5203 Willow Creek Dr Ste 1, Springdale, AR. Use the map below to find directions or verify the practice location.

📍 5203 Willow Creek Dr Ste 1, Springdale, AR 72762-0876  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Collier Drug Stores Inc. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1063775666. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Pharmacy, Compounding PharmacyAR20673AR
Data Verified from CMS NPPES Last synced: 2026-08-03 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162