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WYNNE MEDICAL PHARMACY OF CROSS COUNTY INC
NPI 1255623625
Pharmacy - Community/Retail Pharmacy in Wynne, AR

Active since May 04, 2011CLIA 04D2267962 · Waiver
718 FALLS BLVD S, WYNNE, AR 72396(870) 238-8531(870) 238-5982 Get Directions Write a Review

NPPES record last updated: July 21, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 30, 2017, Mar 27, 2017 (2 updates tracked since 2017).

About Wynne Medical Pharmacy Of Cross County Inc NPPES

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

WYNNE MEDICAL PHARMACY OF CROSS COUNTY INC (NPI 1255623625), doing business as Wynne Medical Pharmacy Of Cross County Inc., is a healthcare organization registered as a community/retail pharmacy in Wynne, Arkansas and active in the NPI registry since May 2011. The organization holds a CLIA Waiver certificate valid through September 1, 2026 and lists Leslie Johnson, Pic, as its authorized official.

NPPES Registry Identity

NPI1255623625
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWYNNE MEDICAL PHARMACY OF CROSS COUNTY INC
Location Address718 FALLS BLVD SWynne, AR 72396-3514
Mailing AddressPo Box 757Wynne, AR 72396-0757 · (870) 238-8531 · Fax (870) 238-5982
Phone(870) 238-8531
Fax(870) 238-5982
Organization SubpartNo
Authorized OfficialLeslie JohnsonPic · (870) 238-8531
Enumeration DateMay 4, 2011
Last NPPES UpdateJuly 21, 20252 updates tracked since enumeration
NPPES CertifiedJuly 21, 2025
✔ NPI 1255623625 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 · 06581
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 ListedPharmacy · Long Term Care PharmacyTaxonomy 3336L0003X
718 FALLS BLVD S, Wynne, AR 72396
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Other Names 1

Doing Business AsWynne Medical Pharmacy Of Cross County Inc.

Other Identifiers 1

Other2130090Pk

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 04D2267962

Wynne Medical Pharmacy Of Cross County · Wynne, AR
Active · expires Sep 1, 2026
CLIA Number04D2267962
Laboratory TypePharmacy
Certificate Effective DateSeptember 2, 2024
Certificate Expiration DateSeptember 1, 2026
Laboratory DirectorKristi Eppes
Laboratory Phone(870) 238-8531
Laboratory LocationWynne Medical Pharmacy Of Cross County718 South Falls Blvd, Wynne, AR 72396
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 4

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.
88 services88 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.
85 services85 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
12 services12 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
12 services12 patients

Medical Equipment Supplier Medicare DMEPOS 8

Medicare supplier enrollment and the product categories Wynne Medical Pharmacy Of Cross Cou carries, from the Medicare DMEPOS supplier directory.

Wynne Medical Pharmacy Of Cross Cou

DMEPOS supplier · Wynne, AROperated by Wynne Medical Pharmacy Of Cross County Inc
⋮

Does not accept Medicare assignment

Wynne Medical Pharmacy Of Cross Cou has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20516771
Medicare Participant SinceJanuary 1, 2013
Supplier Location718 Falls Blvd SWynne, AR 72396
Phone(870) 238-8531
Supplier Specialties
Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 5

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

KRISTINA R EPPES RPH
Pharmacist
718 FALLS BLVD S
WYNNE, AR 72396
Cross County (870) 238-8531
WYNNE MEDICAL PHARMACY INC
Pharmacy (Community/Retail Pharmacy)
718 FALLS BLVD S
WYNNE, AR 72396
Cross County (870) 238-8531
WYNNE MEDICAL PHARMACY OF CROSS COUNTY INC
Pharmacy (Long Term Care Pharmacy)
718 FALLS BLVD S
WYNNE, AR 72396
Cross County (870) 238-8531
MRS. SARAH HAMILTON BURROWS PHARMD
Pharmacist
718 FALLS BLVD S
WYNNE, AR 72396
Cross County (870) 238-8531
WYNNE MEDICAL PHARMACY OF CROSS COUNTY INC
Pharmacy (Community/Retail Pharmacy)
718 FALLS BLVD S
WYNNE, AR 72396
Cross County (870) 238-8531

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 Wynne Medical Pharmacy Of Cross County Inc's NPI number?

The NPI number for Wynne Medical Pharmacy Of Cross County Inc is 1255623625. It was assigned to this organization in the NPPES registry on May 4, 2011. The provider is doing business as Wynne Medical Pharmacy Of Cross County Inc..

Where is Wynne Medical Pharmacy Of Cross County Inc located?

Wynne Medical Pharmacy Of Cross County Inc is located at 718 Falls Blvd S, Wynne, AR 72396. The listed phone number is (870) 238-8531.

What is Wynne Medical Pharmacy Of Cross County Inc's specialty?

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

Does Wynne Medical Pharmacy Of Cross County Inc accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Wynne Medical Pharmacy Of Cross Cou does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

Does Wynne Medical Pharmacy Of Cross County Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D2267962) is associated with this NPI, valid through September 1, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Wynne Medical Pharmacy Of Cross County 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 Wynne Medical Pharmacy Of Cross County 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 Wynne Medical Pharmacy Of Cross County Inc was last updated on July 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.