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WILSON BEARDEN PHARMACY INC
NPI 1093570368
Pharmacy - Long Term Care Pharmacy in Magnolia, AR

Active since February 15, 2024CLIA 04D2275363 · Waiver
134 N WASHINGTON, MAGNOLIA, AR 71753(870) 234-1062(870) 234-8366 Get Directions Write a Review

NPPES record last updated: February 15, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Wilson Bearden Pharmacy Inc NPPES

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

WILSON BEARDEN PHARMACY INC (NPI 1093570368), doing business as Wilson Bearden Pharmacy, is a healthcare organization registered as a long term care pharmacy in Magnolia, Arkansas and active in the NPI registry since February 2024. The organization holds a CLIA Waiver certificate valid through January 19, 2027 and lists Ivy D Moore, Owner, as its authorized official.

NPPES Registry Identity

NPI1093570368
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameWILSON BEARDEN PHARMACY INC
Location Address134 N WASHINGTONMagnolia, AR 71753-2856
Mailing Address134 N WashingtonMagnolia, AR 71753-2856 · (870) 234-1062 · Fax (870) 234-8366
Phone(870) 234-1062
Fax(870) 234-8366
Organization SubpartNo
Authorized OfficialIvy D MooreOwner · (870) 234-1062
Enumeration DateFebruary 15, 2024
NPPES CertifiedFebruary 15, 2024
✔ NPI 1093570368 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
134 N WASHINGTON, Magnolia, AR 71753
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Other Names 1

Doing Business AsWilson Bearden Pharmacy

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 04D2275363

Wilson Bearden Pharmacy · Magnolia, AR
Active · expires Jan 19, 2027
CLIA Number04D2275363
Laboratory TypePharmacy
Certificate Effective DateJanuary 20, 2025
Certificate Expiration DateJanuary 19, 2027
Laboratory DirectorIvy Moore
Laboratory Phone(870) 234-1062
Laboratory LocationWilson Bearden Pharmacy134 N Washington, Magnolia, AR 71753
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.

WILSON BEARDEN PHARMACY INC
Pharmacy (Community/Retail Pharmacy)
134 N WASHINGTON
MAGNOLIA, AR 71753
Columbia County (870) 234-1062
DR. IVY D MOORE PD
Pharmacist
134 N WASHINGTON
MAGNOLIA, AR 71753
Columbia County (870) 234-1062

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 Wilson Bearden Pharmacy Inc's NPI number?

The NPI number for Wilson Bearden Pharmacy Inc is 1093570368. It was assigned to this organization in the NPPES registry on February 15, 2024. The provider is doing business as Wilson Bearden pharmacy.

Where is Wilson Bearden Pharmacy Inc located?

Wilson Bearden Pharmacy Inc is located at 134 N Washington, Magnolia, AR 71753. The listed phone number is (870) 234-1062.

What is Wilson Bearden Pharmacy Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

Does Wilson Bearden Pharmacy Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D2275363) is associated with this NPI, valid through January 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Wilson Bearden Pharmacy 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 37 other insurers list Wilson Bearden Pharmacy 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 Wilson Bearden Pharmacy Inc was last updated on February 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.