Smiths Country Club Drug Store Inc
Durable Medical Equipment & Medical Supplies
5114 Kavanaugh Blvd, Little Rock
Arkansas, 72207-4607
501-663-4118 501-663-4110
Smiths Country Club Drug Store Inc is a Durable Medical Equipment & Medical Supplies in Little Rock, Arkansas. It is located at 5114 Kavanaugh Blvd, Little Rock and it's customer support contact number is 501-663-4118. The authorized person of Smiths Country Club Drug Store Inc is Patricia Ann Ingels who is Billing Agent of this DME and his contact number is 501-663-4118. Smiths Country Club Drug Store Inc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Smiths Country Club Drug Store Inc is 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.
DME Supplier Details:
Smiths Country Club Drug Store Inc type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Smiths Country Club Drug Store Inc |
| Type: | Durable Medical Equipment & Medical Supplies |
| Location: | 5114 Kavanaugh Blvd, Little Rock,
Arkansas, 72207-4607 |
| Phone: | 501-663-4118 |
| Fax: | 501-663-4110 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Patricia Ann Ingels |
| Position: | Billing Agent |
| Contact Number: | 501-663-4118 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1508847179 |
| NPI Enumeration Date: | 09 Nov, 2005 |
| NPI Last Update On: | 02 Sep, 2011 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Smiths Country Club Drug Store Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Durable Medical Equipment & Medical Supplies | | | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 0419211 | Medicaid | Illinois | |
Medicare Enrollment:
Smiths Country Club Drug Store Inc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 1951201607 | O20100930015669 | Smiths Country Club Drug Store Inc | DME SUPPLIER - PHARMACY |
Products Available:
Smiths Country Club Drug Store Inc has following products available for sale under medicare.
| Products: |
|---|
| • Blood Glucose Monitors & Supplies: Non-mail Order | • Canes & Crutches |
| • Commodes, Urinals, & Bedpans | • Heat & Cold Applications |
| • Orthoses: Off-the-shelf | • Ostomy Supplies |
| • Urological Supplies | • Walkers |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 5114 Kavanaugh Blvd,
Little Rock, Arkansas |
| Zip: | 72207-4607 |
| Phone Number: | 501-663-4118 |
| Fax Number: | 501-663-4110 |
Patients can reach Smiths Country Club Drug Store Inc at
5114 Kavanaugh Blvd, Little Rock, Arkansas or can
call on customer care at 501-663-4118.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.