WALDEN DRUG
NPI 1073601571
Pharmacy - Community/Retail Pharmacy in Paragould, AR

Active since October 10, 2006CLIA 04D2311458 · Waiver
3104 W KINGSHIGHWAY, PARAGOULD, AR 72450(870) 236-6118(870) 236-5886 Get Directions Write a Review

NPPES record last updated: August 22, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Walden Drug NPPES

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

WALDEN DRUG (NPI 1073601571) is a healthcare organization registered as a community/retail pharmacy in Paragould, Arkansas and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through September 22, 2026 and lists Jeremy Hancock, Pic, as its authorized official.

NPPES Registry Identity

NPI1073601571
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameHANCOCK PHARMACY INC
Location Address3104 W KINGSHIGHWAYParagould, AR 72450-2612
Mailing Address3104 W KingshighwayParagould, AR 72450-2612 · (870) 236-6118 · Fax (870) 236-5886
Fax(870) 236-5886
Organization SubpartNo
Authorized OfficialJeremy HancockPic · (870) 236-6118
Enumeration DateOctober 10, 2006
Last NPPES UpdateAugust 22, 2019
NPI 1073601571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License Licensed in AR · AR20386
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 ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacyTaxonomy 333600000X
Also ListedPharmacy · Long Term Care PharmacyTaxonomy 3336L0003X
3104 W KINGSHIGHWAY, Paragould, AR 72450

Other Names 1

Doing Business AsWalden Drug

Other Identifiers 3

Other1994135Pk
Medicaid603176306MO
Medicaid155534407AR

Accepted 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 04D2311458

Walden Drug · Paragould, AR
Active · expires Sep 22, 2026
CLIA Number04D2311458
Laboratory TypePharmacy
Certificate Effective DateSeptember 23, 2024
Certificate Expiration DateSeptember 22, 2026
Laboratory DirectorJeremy A. Hancock
Laboratory Phone(870) 236-6118
Laboratory LocationWalden Drug3104 W Kingshighway, Paragould, AR 72450
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

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Administration of influenza virus vaccine

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.

This service was performed 96 times for 96 patients

Influenza vaccine split virus, preservative free

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

This service was performed 68 times for 68 patients

Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free

The quadrivalent influenza vaccine is a flu shot that protects against four different flu viruses. Derived from cell cultures, it is free of preservatives and antibiotics. It's a safe and effective way to reduce your risk of getting the flu.

This service was performed 28 times for 28 patients

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Pharmacist
3104 W KINGSHIGHWAY
PARAGOULD, AR 72450
Pharmacist
3104 W KINGSHIGHWAY
PARAGOULD, AR 72450
Pharmacy (Long Term Care Pharmacy)
3104 W KINGSHIGHWAY
PARAGOULD, AR 72450

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073601571, enumerated as an "organization" on October 10, 2006.

The provider is located at 3104 W KINGSHIGHWAY PARAGOULD, AR 72450 and the phone number is (870) 236-6118.

Pharmacy with taxonomy code 3336C0003X and a focus in Community/Retail Pharmacy.

The provider might be accepting Accepts: Alliant Health Plans, Inc., Ambetter from Absolute. Please consult your insurance carrier or call the provider to verify.