CMS-1500 Box 24J / 33a • NPI
1275528069
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
3336C0003X (CMS 58)
Licensed & Credentialed Suppliers — Pharmacy, Community — Retail Pharmacy
Box 32 Service Location & ZIP+4
991 W CENTERTON BLVD, CENTERTON, AR, 72719-8707
✓ 9-Digit EDI 837 ZIP+4 (72719-8707)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1275528069 (COLLIER DRUG STORES, INC.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1275528069)
Medicare Beneficiaries
87
Total Billed Services
256
Distinct CPT/HCPCS Codes
13
Medicare Allowed Total
$19,356.77
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
90480 | Admn sarscov2 vacc 1 dose | 46 |
90653 | Influenza vaccine, inactivated | 40 |
90662 | Influenza vaccine split virus, preservative free | 26 |
91320 | Sarscv2 vac 30mcg trs-suc im | 42 |
91322 | Sarscov2 vac 50 mcg/0.5ml im | 20 |
G0008 | Administration of influenza virus vaccine | 72 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1275528069 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | COLLIER DRUG STORES, INC. |
| Plain-English Specialty | Licensed & Credentialed Suppliers — Pharmacy, Community — Retail Pharmacy NUCC Code: 3336C0003X (Pharmacy, Community/Retail Pharmacy) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 991 W CENTERTON BLVD, CENTERTON, AR, 72719-8707 |
| Practice Telephone / Fax | Tel: (479) 795-8199 | Fax: (479) 795-8196 |
| Administrative Mailing Address | PO BOX 1085, FAYETTEVILLE, AR, 72702 |
| Enumeration & Last Sync | Enumerated: 2005-09-17 | CMS Record Updated: 2024-02-20 |
| Authorized Official | CARL COLLIER (Owner) |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
🗺️ Open in Google Maps 🏥 More Providers in CENTERTON
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Plain-English Taxonomy & CMS Crosswalk (3336C0003X)
What Does Taxonomy Code 3336C0003X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 3336C0003X translates to:
"Licensed & Credentialed Suppliers — Pharmacy, Community — Retail Pharmacy"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (COLLIER DRUG STORES, INC.)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
3336C0003X — Pharmacy, Community/Retail PharmacyPlain English: Licensed & Credentialed Suppliers — Pharmacy, Community — Retail Pharmacy | State: N/A | License: Verified | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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