MITCHELLS PARK STREET PHARMACY INC
MITCHELLS PARK STREET PHARMACY INC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1487640579, based in Calico Rock, AR. The organization lists 3 taxonomy classifications, with Community/Retail Pharmacy recorded as primary.
Getting there
The practice address on file is 526 PARK ST, Calico Rock, AR 72519. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| AR20214 | AR | Community/Retail Pharmacy primary |
This provider holds licence AR20214 issued in AR. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Part B Supplier - Mass Immunization (roster Biller Only)
- PAC ID
- 9739207135
Enrolled in Medicare 2 times, across 1 state:
| State | Enrollment ID | Provider type |
|---|---|---|
| Arkansas | O20181015000400 | Part B Supplier - Mass Immunization (roster Biller Only) |
| Arkansas | O20230831002087 | Part B Supplier - Pharmacy |
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Mass Immunization (roster Biller Only). There are 2 separate enrolment records. Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Community/Retail Pharmacy covers
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. NUCC Health Care Provider Taxonomy, code 3336C0003X
All registered taxonomy codes
This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 3336C0003X | Community/Retail Pharmacy Community/Retail Pharmacy | AR20214 | AR | primary |
| 333600000X | Pharmacy | — | — | |
| 3336L0003X | Long Term Care Pharmacy Long Term Care Pharmacy | — | — |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1487640579 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Sep 23, 2005 |
| Last updated | Jul 5, 2016 |
| Status | Active |
| Practice address |
526 PARK ST Calico Rock, AR 72519 (870) 297-8107 Fax (870) 297-8799 |
| Mailing address |
PO BOX 569 Calico Rock, AR 72519 |
| Other identifiers |
100056407
· Medicaid (AR) 1994893 · Other |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 4 | 8 | 7 | 6 | 4 | 0 | 5 | 7 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 4 | 7 | 7 | 3 | 4 | 0 | 5 | 5 |
Sum = 61 · next multiple of 10 = 70 · check digit = 9 · actual last digit = 9
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.