ANDERSON'S DISCOUNT PHARMACY
NPI 1689670457
Pharmacy in Fort Smith, AR

NPI Status: Active since June 24, 2005

Contact Information

700 LEXINGTON AVE
FORT SMITH, AR
ZIP 72901
Phone: (479) 782-2881
Fax: (479) 782-3974

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  • Organization
  • Pharmacy
  • Medicare Supplier
  • Accepts Medicare Approved Payment
  • CLIA Number: 04D2153217
  • CLIA Cert. Type: Pharmacy
  • CLIA Exp. Date: 08-22-2026

About ANDERSON'S DISCOUNT PHARMACY

This page provides the complete NPI Profile along with additional information for Anderson's Discount Pharmacy, a provider established in Fort Smith, Arkansas operating as a Pharmacy. The healthcare provider is registered in the NPI registry with number 1689670457 assigned on June 2005. The practitioner's primary taxonomy code is 333600000X with license number 72669 (AR). The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Anderson's Discount Pharmacy. The authorized official of this NPI record is Ms. Kandice Amy Gibbons Pharm.d. (Owner)

NPI
1689670457
Provider Legal Name
AMYCO INC
Other Organization Name
ANDERSON'S DISCOUNT PHARMACY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
700 LEXINGTON AVE FORT SMITH, AR 72901
Location Phone
(479) 782-2881
Location Fax
(479) 782-3974
Mailing Address
700 LEXINGTON AVE FORT SMITH, AR 72901
Mailing Phone
(479) 782-2881
Mailing Fax
(479) 782-3974
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-24-2005
Last Update Date
08-22-2020
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Anderson's Discount Pharmacy is a medicare supplier with PTAN 20573639 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Blood Glucose Monitors/Supplies (Non-Mail Order) or (TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies or Canes and/or Crutches or Walkers or Wheelchairs (Standard Manual) or Wheelchairs (Standard Manual Related Accessories) or Wheelchair Seating/Cushions or Nebulizer Equipment and/or Supplies.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pharmacy

Taxonomy Code
333600000X
Type
Suppliers
License No.
72669
License State
AR
Taxonomy Description
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. KANDICE AMY GIBBONS PHARM.D.

Authorized Official Title
OWNER
Authorized Official Phone
(479) 782-2881

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
90003922622MEDICAID (05)OK 

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20573639
Accepts Medicare Assignment
YES
Specialities List
Pharmacy.
Competitive Bidding
NO

Supplies List

  • 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
  • (TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies - Transcutaneous Electrical Nerve Stimulation (TENS) for the relief of acute post-operative pain
  • Canes and/or Crutches - Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches
  • Walkers - Standard Walkers, Wheeled Walkers, Folding Walker
  • Wheelchairs (Standard Manual) - Standard wheelchairs, transport wheelchairs, heavy duty wheelchairs
  • Wheelchairs (Standard Manual Related Accessories) - Accessories for standard wheelchairs, transport wheelchairs, heavy duty wheelchairs
  • Wheelchair Seating/Cushions - Wheelchair seat cushions, Wheelchair bank cushions, Wheelchair padded armrests
  • Nebulizer Equipment and/or Supplies - Nebulizers, Atomizers, Filters

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
04D2153217
Facility Type
Pharmacy
Certificate Effective Date
August 23, 2024
Certificate Expiration Date
August 22, 2026
Laboratory Director
KANDICE A. GIBBONS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Anderson's Discount Pharmacy to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1689670457, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
9
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
7
Unchanged
Pos 7
0
Doubled → 0
Pos 8
4
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 6 → 12 → 3 0 → 0 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 1 + 6 + 9 + 1 + 2 + 7 + 0 + 4 + 1 + 0 + 24 = 63

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1689670457.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Pharmacist
700 LEXINGTON AVE
FORT SMITH, AR 72901
Pharmacist
700 LEXINGTON AVE
FORT SMITH, AR 72901

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689670457, enumerated as an "organization" on June 24, 2005.

The provider is located at 700 LEXINGTON AVE FORT SMITH, AR 72901 and the phone number is (479) 782-2881.

Pharmacy with taxonomy code 333600000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.