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COMMUNITY PHARMACY OF SPRINGDALE
NPI 1023445293
Pharmacy - Community/Retail Pharmacy in Springdale, AR

Active since October 03, 2013CLIA 04D2184661 · Waiver
400 W EMMA AVE, SPRINGDALE, AR 72764(479) 750-2220(479) 750-2031 Get Directions Write a Review

NPPES record last updated: August 27, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 27, 2020, Jul 17, 2020 (2 updates tracked since 2020).

About Community Pharmacy Of Springdale NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COMMUNITY PHARMACY OF SPRINGDALE (NPI 1023445293) is a healthcare organization registered as a community/retail pharmacy in Springdale, Arkansas and active in the NPI registry since October 2013. The organization holds a CLIA Waiver certificate valid through May 21, 2028 and lists Victoria Hennessey, Owner/pharmacist In Charge, as its authorized official.

NPPES Registry Identity

NPI1023445293
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameMCKINNEY DRUG STORES INC
Location Address400 W EMMA AVESpringdale, AR 72764-4471
Mailing Address400 W Emma AveSpringdale, AR 72764-4471 · (479) 750-2220 · Fax (479) 750-2031
Phone(479) 750-2220
Fax(479) 750-2031
Organization SubpartNo
Authorized OfficialVictoria HennesseyOwner/pharmacist In Charge · (479) 750-2220
Enumeration DateOctober 3, 2013
Last NPPES UpdateAugust 27, 20202 updates tracked since enumeration
NPPES CertifiedAugust 25, 2020
✔ NPI 1023445293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in AR · AR20731
Definition
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.
400 W EMMA AVE, Springdale, AR 72764
Open in Google Maps ↗

Other Names 1

Doing Business AsCommunity Pharmacy Of Springdale

Other Identifiers 1

Other2142345Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 04D2184661

Community Pharmacy Of Springdale Mckinney Drug Store · Springdale, AR
Active · expires May 21, 2028
CLIA Number04D2184661
Laboratory TypePharmacy
Certificate Effective DateMay 22, 2026
Certificate Expiration DateMay 21, 2028
Laboratory DirectorVictoria L. Hennessey
Laboratory Phone(479) 750-2220
Laboratory LocationCommunity Pharmacy Of Springdale Mckinney Drug Store400 W Emma Avenue, Springdale, AR 72764
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
76 services76 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
69 services69 patients

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DEVIN TILLMAN PHARM D
Pharmacist
400 W EMMA AVE
SPRINGDALE, AR 72764
Washington County (479) 750-2220
CHARLES F SHUSTER
Pharmacy
400 W EMMA AVE
SPRINGDALE, AR 72764
Washington County (479) 751-7408
SERESA LEE COMER PHARMD
Pharmacist
400 W EMMA AVE
SPRINGDALE, AR 72764
Washington County (479) 750-2220
APPLIED PHARMACY CONSULTANTS, INC.
Pharmacy
400 W EMMA AVE
SPRINGDALE, AR 72764
Washington County (479) 751-4885
ERIN M TOLSON PHARM.D.
Pharmacist
400 W EMMA AVE
SPRINGDALE, AR 72764
Washington County (479) 750-2220
DR. CATHERINE HALLORAN DOCTOR OF PHARMACY
Pharmacist (Ambulatory Care)
400 W EMMA AVE
SPRINGDALE, AR 72764
Washington County (479) 750-2220
ROBERT JARED HAILEY PHARMD
Pharmacist
400 W EMMA AVE
SPRINGDALE, AR 72764
Washington County (479) 750-2220
MCKINNEY DRUG STORE INC
Pharmacy (Long Term Care Pharmacy)
400 W EMMA AVE
SPRINGDALE, AR 72764
Washington County (479) 750-2220

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mckinney Drug Stores Inc's NPI number?

The NPI number for Mckinney Drug Stores Inc is 1023445293. It was assigned to this organization in the NPPES registry on October 3, 2013. The provider is doing business as Community Pharmacy Of Springdale.

Where is Mckinney Drug Stores Inc located?

Mckinney Drug Stores Inc is located at 400 W Emma Ave, Springdale, AR 72764. The listed phone number is (479) 750-2220.

What is Mckinney Drug Stores Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Mckinney Drug Stores Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D2184661) is associated with this NPI, valid through May 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mckinney Drug Stores Inc accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 51 other insurers list Mckinney Drug Stores Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mckinney Drug Stores Inc was last updated on August 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.