Mainline Pharmacy Services Inc
NPI 1013589514 · Community/Retail Pharmacy · Monticello, AR
Enrolled with Medicare as Part B Supplier - Mass Immunization (roster Biller Only) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mainline Pharmacy Services Inc is a Community/Retail Pharmacy organization in Monticello, AR (NPI 1013589514).
Provider details
- NPI number
- 1013589514
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Khalil Crouse, President(870) 265-6604
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
- Clinic Pharmacy3336C0002X
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Clinic Pharmacy of Monticello
- Doing business as
- Clinic Pharmacy of Monticello
Registry dates
- Enumerated
- 2021-07-14
- Last updated
- 2021-09-13
- Certified
- 2021-09-13
Frequently asked questions
- What is Mainline Pharmacy Services Inc's NPI number?
- Mainline Pharmacy Services Inc's National Provider Identifier (NPI) is 1013589514, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mainline Pharmacy Services Inc?
- Mainline Pharmacy Services Inc is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Mainline Pharmacy Services Inc located?
- Mainline Pharmacy Services Inc's practice location on file with NPPES is 535 Jordan Dr Ste B, Monticello, AR 71655-5714.
- What is Mainline Pharmacy Services Inc's phone number?
- The practice phone number listed in the NPPES registry for Mainline Pharmacy Services Inc is (870) 224-0650.
- Does Mainline Pharmacy Services Inc accept Medicare?
- Mainline Pharmacy Services Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Mainline Pharmacy Services Inc?
- The authorized official listed on Mainline Pharmacy Services Inc's NPPES record is Khalil Crouse, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mainline Pharmacy Services Inc's NPI active?
- Yes — Mainline Pharmacy Services Inc's NPI (1013589514) is active in the NPPES registry as of the last update on 2021-09-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.