WYNNE APOTHECARY INC
NPI 1508859737
Pharmacy - Community/Retail Pharmacy in Wynne, AR

Q: What is Wynne Apothecary Inc's NPI number?

The NPI number for Wynne Apothecary Inc is 1508859737. It was assigned to this organization in the NPPES registry on August 23, 2005. The provider is doing business as Wynne Apothecary.

Q: What is Wynne Apothecary Inc's specialty?

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

Active since August 23, 2005CLIA 04D2274955 · Waiver

500 FALLS BLVD N, WYNNE, AR 72396(870) 238-8511(870) 238-2135 Get Directions Write a Review

NPPES record last updated: August 26, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 3, 2022, Jul 19, 2018 (2 updates tracked since 2018).

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About Wynne Apothecary Inc NPPES

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

WYNNE APOTHECARY INC (NPI 1508859737), doing business as Wynne Apothecary, is a healthcare organization registered as a community/retail pharmacy in Wynne, Arkansas and active in the NPI registry since August 2005. The organization holds a CLIA Waiver certificate valid through January 11, 2027 and lists Stacy Elizabeth Cooper, New Owner/pharmacist In Charge, as its authorized official.

NPPES Registry Identity

NPI1508859737

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameWYNNE APOTHECARY INC

Location Address500 FALLS BLVD NWynne, AR 72396-2612

Mailing AddressPo Box 361, 411 S Falls BlvdWynne, AR 72396-0361 · (870) 238-8511

Phone(870) 238-8511

Fax(870) 238-2135

Organization SubpartNo

Authorized OfficialStacy Elizabeth CooperNew Owner/pharmacist In Charge · (870) 238-8511

Enumeration DateAugust 23, 2005

Last NPPES UpdateAugust 26, 20252 updates tracked since enumeration

NPPES CertifiedAugust 26, 2025

✔ NPI 1508859737 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 · AR14588

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 ListedPharmacyTaxonomy 333600000X

Also ListedPharmacy · Compounding PharmacyTaxonomy 3336C0004X

Also ListedPharmacy · Long Term Care PharmacyTaxonomy 3336L0003X

500 FALLS BLVD N, Wynne, AR 72396

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Other Names 1

Doing Business AsWynne Apothecary

Other Identifiers 2

Other1994724Pk

Medicaid100505407AR

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 04D2274955

Wynne Apothecary Inc · Wynne, AR

Active · expires Jan 11, 2027

CLIA Number04D2274955

Laboratory TypePharmacy

Certificate Effective DateJanuary 12, 2025

Certificate Expiration DateJanuary 11, 2027

Laboratory DirectorStayce E. Cooper

Laboratory Phone(870) 238-8511

Laboratory LocationWynne Apothecary Inc500 Falls Blvd N, Wynne, AR 72396

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 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.

141 services141 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.

136 services136 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.

13 services13 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.

13 services13 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.

HAYLEY OWENS

Pharmacist

500 FALLS BLVD N
WYNNE, AR 72396

Cross County (870) 238-8511

WYNNE APOTHECARY INC

Pharmacy (Long Term Care Pharmacy)

500 FALLS BLVD N
WYNNE, AR 72396

Cross County (870) 238-8511

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 Apothecary Inc's NPI number?

The NPI number for Wynne Apothecary Inc is 1508859737. It was assigned to this organization in the NPPES registry on August 23, 2005. The provider is doing business as Wynne Apothecary.

Where is Wynne Apothecary Inc located?

Wynne Apothecary Inc is located at 500 Falls Blvd N, Wynne, AR 72396. The listed phone number is (870) 238-8511.

What is Wynne Apothecary Inc's specialty?

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

Does Wynne Apothecary Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D2274955) is associated with this NPI, valid through January 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Wynne Apothecary 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 53 other insurers list Wynne Apothecary 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 Apothecary Inc was last updated on August 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.