Rose Drug Of Russellville Inc
Community/Retail Pharmacy
3103 W Main Pl, Russellville
Arkansas, 72801-3360
479-968-1323 479-968-1557
Rose Drug Of Russellville Inc is a Community/Retail Pharmacy in Russellville, Arkansas. It is located at 3103 W Main Pl, Russellville and it's customer support contact number is 479-968-1323. The authorized person of Rose Drug Of Russellville Inc is Randy Issa Kassissieh, PHARMD who is Owner of the pharmacy and his contact number is 501-945-3264. Active license number of Rose Drug Of Russellville Inc is AR13916 for Community/Retail Pharmacy in Arkansas. Rose Drug Of Russellville Inc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Rose Drug Of Russellville Inc is 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.
Pharmacy Details:
Rose Drug Of Russellville Inc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Rose Drug Of Russellville Inc |
| Type: | Community/Retail Pharmacy |
| Location: | 3103 W Main Pl, Russellville,
Arkansas, 72801-3360 |
| Phone: | 479-968-1323 |
| Fax: | 479-968-1557 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Randy Issa Kassissieh |
| Credentials: | PHARMD |
| Position: | Owner |
| Contact Number: | 501-945-3264 |
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 pharmacy are as mentioned below.
| NPI Number: | 1669487294 |
| NPI Enumeration Date: | 30 Jul, 2006 |
| NPI Last Update On: | 09 May, 2024 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Rose Drug Of Russellville Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | AR13916 | Arkansas | Primary | |
| Long Term Care Pharmacy | | | Secondary | |
| Pharmacy | | | Secondary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 110271407 | Medicaid | Arkansas | |
| 1994537 | Other | | Pk |
Medicare Enrollment:
Rose Drug Of Russellville 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 |
| 9931227774 | O20100930039271 | Rose Drug Of Russellville, Inc | DME SUPPLIER - PHARMACY |
| 9931227774 | O20140326000374 | Rose Drug Of Russellville, Inc | PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY) |
Products Available:
Rose Drug Of Russellville Inc has following products available for sale under medicare.
| Products: |
|---|
| • Blood Glucose Monitors & Supplies: Non-mail Order | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 3103 W Main Pl,
Russellville, Arkansas |
| Zip: | 72801-3360 |
| Phone Number: | 479-968-1323 |
| Fax Number: | 479-968-4988 |
Patients can reach Rose Drug Of Russellville Inc at
3103 W Main Pl, Russellville, Arkansas or can
call on customer care at 479-968-1323.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.