GOSNELL DRUGS INC.
NPI 1770055923
Pharmacy - Community/Retail Pharmacy in Gosnell, AR

Active since December 28, 2018CLIA 04D2238294 · Waiver
134 BEVILL AVE, GOSNELL, AR 72315(573) 559-5525 Get Directions Write a Review

NPPES record last updated: May 7, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 7, 2026, Mar 19, 2021, Apr 1, 2020 and 2 more (5 updates tracked since 2018).

About Gosnell Drugs Inc. NPPES

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

GOSNELL DRUGS INC. (NPI 1770055923) is a healthcare organization registered as a community/retail pharmacy in Gosnell, Arkansas and active in the NPI registry since December 2018. The organization holds a CLIA Waiver certificate valid through September 30, 2027 and lists Tyson Wallace, Owner/pharmacist, as its authorized official.

NPPES Registry Identity

NPI1770055923
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameGOSNELL DRUGS INC.
Location Address134 BEVILL AVEGosnell, AR 72315
Mailing Address134 Bevill AveGosnell, AR 72315 · (870) 751-9242 · Fax (870) 751-9291
Organization SubpartNo
Authorized OfficialTyson WallaceOwner/pharmacist · (870) 751-9242
Enumeration DateDecember 28, 2018
Last NPPES UpdateMay 7, 20265 updates tracked since enumeration
NPPES CertifiedMay 7, 2026
NPI 1770055923 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
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
134 BEVILL AVE, Gosnell, AR 72315

Other Identifiers 2

Medicaid234926407AR
Medicaid600073809MO

Accepted 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 04D2238294

Gosnell Drugs · Gosnell, AR
Active · expires Sep 30, 2027
CLIA Number04D2238294
Laboratory TypePharmacy
Certificate Effective DateOctober 1, 2025
Certificate Expiration DateSeptember 30, 2027
Laboratory DirectorWallace Tyson
Laboratory Phone(870) 751-9242
Laboratory LocationGosnell Drugs134bevill Ave, Gosnell, AR 72315
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 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.
52 services51 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.
49 services49 patients

Medical Equipment Supplier Medicare DMEPOS 6

Medicare supplier enrollment and the product categories Gosnell Drugs carries, from the Medicare DMEPOS supplier directory.

Gosnell Drugs

DMEPOS supplier · Gosnell, AROperated by Gosnell Drugs Inc

Does not accept Medicare assignment

Gosnell Drugs 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)20418899
Medicare Participant SinceDecember 3, 2019
Supplier Location134 Bevill StGosnell, AR 72315
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

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

Pharmacist
134 BEVILL AVE
GOSNELL, AR 72315

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 Gosnell Drugs Inc.'s NPI number?

The NPI number for Gosnell Drugs Inc. is 1770055923. It was assigned to this organization in the NPPES registry on December 28, 2018.

Where is Gosnell Drugs Inc. located?

Gosnell Drugs Inc. is located at 134 Bevill Ave, Gosnell, AR 72315. The listed phone number is (573) 559-5525.

What is Gosnell Drugs Inc.'s specialty?

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

Does Gosnell Drugs Inc. accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Gosnell Drugs 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 Gosnell Drugs Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D2238294) is associated with this NPI, valid through September 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Gosnell Drugs 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 49 other insurers list Gosnell Drugs 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 Gosnell Drugs Inc. was last updated on May 7, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.