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HYDE PHARMACY LTC
NPI 1396526661
Pharmacy - Long Term Care Pharmacy in Paragould, AR

Active since October 11, 2023CLIA 04D2184350 · Waiver
1001 W KINGSHIGHWAY, PARAGOULD, AR 72450(870) 239-4036(870) 239-9478 Get Directions Write a Review

NPPES record last updated: March 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 16, 2023, Oct 11, 2023 (2 updates tracked since 2023).

About Hyde Pharmacy Ltc NPPES

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

HYDE PHARMACY LTC (NPI 1396526661) is a healthcare organization registered as a long term care pharmacy in Paragould, Arkansas and active in the NPI registry since October 2023. The organization holds a CLIA Waiver certificate valid through May 18, 2028 and lists Kenneth Kuenzel, Owner, as its authorized official.

NPPES Registry Identity

NPI1396526661
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameHYDE PHARMACY INC
Location Address1001 W KINGSHIGHWAYParagould, AR 72450-4142
Mailing Address1001 W KingshighwayParagould, AR 72450-4142 · (870) 239-4036 · Fax (870) 239-9478
Phone(870) 239-4036
Fax(870) 239-9478
Organization SubpartNo
Authorized OfficialKenneth KuenzelOwner · (870) 239-4036
Enumeration DateOctober 11, 2023
Last NPPES UpdateMarch 15, 20242 updates tracked since enumeration
NPPES CertifiedMarch 15, 2024
✔ NPI 1396526661 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.
1001 W KINGSHIGHWAY, Paragould, AR 72450
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Other Names 1

Other NameHyde Pharmacy Ltc

Other Identifiers 1

Medicaid117466407AR

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 04D2184350

Hyde Pharmacy Inc · Paragould, AR
Active · expires May 18, 2028
CLIA Number04D2184350
Laboratory TypePharmacy
Certificate Effective DateMay 19, 2026
Certificate Expiration DateMay 18, 2028
Laboratory DirectorKenneth Kuenzel
Laboratory Phone(870) 239-4036
Laboratory LocationHyde Pharmacy Inc101 W Kingshighway, Paragould, AR 72450
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 6

Medicare supplier enrollment and the product categories Hyde Pharmacy carries, from the Medicare DMEPOS supplier directory.

Hyde Pharmacy

DMEPOS supplier · Paragould, AROperated by Hyde Pharmacy Inc
✔

Accepts Medicare assignment

Hyde Pharmacy agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20618135
Medicare Participant SinceJanuary 1, 2001
Supplier Location1001 W KingshighwayParagould, AR 72450
Phone(870) 239-4036
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
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
Blood Glucose Monitors/Supplies (Non-Mail Order)
Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
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 6

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

MR. STEVE E SMOKER P.D.
Pharmacist
1001 W KINGSHIGHWAY
PARAGOULD, AR 72450
Greene County (870) 239-4036
CHELSEA PAIGE HARVEY PHARMD
Pharmacist
1001 W KINGSHIGHWAY
PARAGOULD, AR 72450
Greene County (870) 239-4036
HYDE PHARMACY INC
Pharmacy (Community/Retail Pharmacy)
1001 W KINGSHIGHWAY
PARAGOULD, AR 72450
Greene County (870) 239-4036
HYDE PHARMACY INC (IMMUNIZATION)
Pharmacy (Community/Retail Pharmacy)
1001 W KINGSHIGHWAY
PARAGOULD, AR 72450
Greene County (870) 239-4036
DR. DONNA RAE FOWLER PHARMD
Pharmacist
1001 W KINGSHIGHWAY
PARAGOULD, AR 72450
Greene County (870) 239-4036
DR. KENNETH ROBERT KUENZEL PHARM D
Pharmacist
1001 W KINGSHIGHWAY
PARAGOULD, AR 72450
Greene County (870) 239-4036

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 Hyde Pharmacy Inc's NPI number?

The NPI number for Hyde Pharmacy Inc is 1396526661. It was assigned to this organization in the NPPES registry on October 11, 2023. The provider is also known as Hyde Pharmacy Ltc.

Where is Hyde Pharmacy Inc located?

Hyde Pharmacy Inc is located at 1001 W Kingshighway, Paragould, AR 72450. The listed phone number is (870) 239-4036.

What is Hyde Pharmacy Inc's specialty?

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

Does Hyde Pharmacy Inc accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Hyde Pharmacy accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Hyde Pharmacy Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D2184350) is associated with this NPI, valid through May 18, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Hyde 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 36 other insurers list Hyde 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 Hyde Pharmacy Inc was last updated on March 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.