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ECONO-MED OF WALNUT RIDGE INC
NPI 1063948289
Pharmacy - Community/Retail Pharmacy in Walnut Ridge, AR

Active since May 08, 2017CLIA 04D2230007 · Waiver
1045 W MAIN ST, STE B, WALNUT RIDGE, AR 72476(870) 886-5200(870) 886-7553 Get Directions Write a Review

NPPES record last updated: May 3, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 3, 2018, May 8, 2017 (2 updates tracked since 2017).

About Econo-med Of Walnut Ridge Inc NPPES

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

ECONO-MED OF WALNUT RIDGE INC (NPI 1063948289) is a healthcare organization registered as a community/retail pharmacy in Walnut Ridge, Arkansas and active in the NPI registry since May 2017. The organization holds a CLIA Waiver certificate valid through July 18, 2027 and lists Greta Ishmael, Owner/ao, as its authorized official.

NPPES Registry Identity

NPI1063948289
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameECONO-MED OF WALNUT RIDGE INC
Location Address1045 W MAIN ST, STE BWalnut Ridge, AR 72476-1004
Mailing Address1 Choctaw CtrCherokee Village, AR 72529-2701 · (870) 856-4696 · Fax (870) 856-4658
Phone(870) 886-5200
Fax(870) 886-7553
Organization SubpartNo
Authorized OfficialGreta IshmaelOwner/ao · (870) 856-4696
Enumeration DateMay 8, 2017
Last NPPES UpdateMay 3, 20182 updates tracked since enumeration
✔ NPI 1063948289 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in AR · AR20135
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.
Also ListedPharmacyTaxonomy 333600000X
1045 W MAIN ST, Walnut Ridge, AR 72476
Open in Google Maps ↗

Other Identifiers 2

Other2168755Pk
Medicaid219073407AR

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 04D2230007

Econo-Med Of Walnut Ridge · Walnut Ridge, AR
Active · expires Jul 18, 2027
CLIA Number04D2230007
Laboratory TypePharmacy
Certificate Effective DateJuly 19, 2025
Certificate Expiration DateJuly 18, 2027
Laboratory DirectorLauren S. Felts
Laboratory Phone(870) 886-5200
Laboratory LocationEcono-Med Of Walnut Ridge1045 W Main St Suite B, Walnut Ridge, AR 72476
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

REBECCA R. EDWARDS,DDS,PA.
Dentist (General Practice)
1045 W MAIN ST, SUITE A
WALNUT RIDGE, AR 72476
Lawrence County (870) 886-3338
FLIPPO PRESCRIPTION HOUSE INC.
Pharmacy (Community/Retail Pharmacy)
1045 W MAIN ST, STE B
WALNUT RIDGE, AR 72476
Lawrence County (870) 886-5200

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 Econo-Med Of Walnut Ridge Inc's NPI number?

The NPI number for Econo-Med Of Walnut Ridge Inc is 1063948289. It was assigned to this organization in the NPPES registry on May 8, 2017.

Where is Econo-Med Of Walnut Ridge Inc located?

Econo-Med Of Walnut Ridge Inc is located at 1045 W Main St Ste B, Walnut Ridge, AR 72476. The listed phone number is (870) 886-5200.

What is Econo-Med Of Walnut Ridge Inc's specialty?

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

Does Econo-Med Of Walnut Ridge Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D2230007) is associated with this NPI, valid through July 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Econo-Med Of Walnut Ridge 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 52 other insurers list Econo-Med Of Walnut Ridge 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 Econo-Med Of Walnut Ridge Inc was last updated on May 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.