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CLARKSVILLE FAMILY PHARMACY
NPI 1194010421
Pharmacy - Community/Retail Pharmacy in Clarksville, AR

Active since June 15, 2011CLIA 04D2169482 · Waiver
510 S ROGERS ST STE 3, CLARKSVILLE, AR 72830(479) 647-3138(479) 647-3144 Get Directions Write a Review

NPPES record last updated: December 16, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Clarksville Family Pharmacy NPPES

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

CLARKSVILLE FAMILY PHARMACY (NPI 1194010421) is a healthcare organization registered as a community/retail pharmacy in Clarksville, Arkansas and active in the NPI registry since June 2011. The organization holds a CLIA Waiver certificate valid through July 21, 2027 and lists Ward Lee, President, as its authorized official.

NPPES Registry Identity

NPI1194010421
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameCLARKSVILLE FAMILY PHARMACY INC
Location Address510 S ROGERS ST STE 3Clarksville, AR 72830-3792
Mailing Address510 S Rogers St Ste 3Clarksville, AR 72830-3792 · (479) 647-3138 · Fax (479) 647-3144
Phone(479) 647-3138
Fax(479) 647-3144
Organization SubpartNo
Authorized OfficialWard LeePresident · (479) 774-5921
Enumeration DateJune 15, 2011
Last NPPES UpdateDecember 16, 2016
✔ NPI 1194010421 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 · AR20656
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 ListedPharmacy · Compounding PharmacyTaxonomy 3336C0004X
Also ListedPharmacy · Long Term Care PharmacyTaxonomy 3336L0003X
510 S ROGERS ST STE 3, Clarksville, AR 72830
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Other Names 1

Doing Business AsClarksville Family Pharmacy

Other Identifiers 2

Medicaid187120407AR
Other2129945Pk

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 04D2169482

Clarksville Family Pharmacy · Clarksville, AR
Active · expires Jul 21, 2027
CLIA Number04D2169482
Laboratory TypePharmacy
Certificate Effective DateJuly 22, 2025
Certificate Expiration DateJuly 21, 2027
Laboratory DirectorCharles E. Lee
Laboratory Phone(479) 647-3138
Laboratory LocationClarksville Family Pharmacy510 S Rogers St Suite 3, Clarksville, AR 72830
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.
65 services64 patients
Influenza vaccine split virus, preservative free 90662
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.
58 services57 patients

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.

DR. ZACHARY TAYLOR PHARMD
Pharmacist
510 S ROGERS ST STE 3
CLARKSVILLE, AR 72830
Johnson County (479) 647-3138
DR. CHARLES EDWARD LEE P.D.
Pharmacist
510 S ROGERS ST STE 3
CLARKSVILLE, AR 72830
Johnson County (479) 647-3138

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 Clarksville Family Pharmacy Inc's NPI number?

The NPI number for Clarksville Family Pharmacy Inc is 1194010421. It was assigned to this organization in the NPPES registry on June 15, 2011. The provider is doing business as Clarksville Family Pharmacy.

Where is Clarksville Family Pharmacy Inc located?

Clarksville Family Pharmacy Inc is located at 510 S Rogers St Ste 3, Clarksville, AR 72830. The listed phone number is (479) 647-3138.

What is Clarksville Family Pharmacy Inc's specialty?

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

Does Clarksville Family Pharmacy Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D2169482) is associated with this NPI, valid through July 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Clarksville Family 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 52 other insurers list Clarksville Family 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 Clarksville Family Pharmacy Inc was last updated on December 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.