Smiths Country Club Drug Store Inc
Community/Retail Pharmacy
5114 Kavanaugh Blvd, Little Rock
Arkansas, 72207-4607
501-663-4118 501-663-4110
Smiths Country Club Drug Store Inc is a Community/Retail Pharmacy 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 Ingels who is President of the pharmacy and his contact number is 501-663-4118. Active license number of Smiths Country Club Drug Store Inc is AR19211 for Community/Retail Pharmacy in Arkansas. 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 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:
Smiths Country Club Drug Store 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: | Smiths Country Club Drug Store Inc |
| Type: | Community/Retail Pharmacy |
| 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 pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Patricia Ingels |
| Position: | President |
| 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 pharmacy are as mentioned below.
| NPI Number: | 1841339645 |
| NPI Enumeration Date: | 06 Feb, 2007 |
| NPI Last Update On: | 13 Jun, 2016 |
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 | |
| Community/Retail Pharmacy | AR19211 | Arkansas | Primary | |
| Pharmacy | | | Secondary | |
| Long Term Care Pharmacy | | | 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 |
| 160237407 | Medicaid | Arkansas | |
| 1988096 | Other | | Pk |
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 | O20040109001020 | Smiths Country Club Drug Store Inc | PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY) |
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 13 October, 2025.