Organization Active NPI

Wynne Medical Pharmacy Inc

  • Community/Retail Pharmacy
  • Wynne, AR
National Provider Identifier
1457332850
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
AR06581 Issued in AR
Legal business name
WYNNE MEDICAL PHARMACY INC
Practice address
718 Falls Blvd S
Wynne, AR 72396-3514
Phone
(870) 238-8531
Fax
(870) 238-5982
NPI assigned
Nov 11, 2005
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Stephanie Goodart Oneal, PDNPI 1831100627
Title
Ceo
Phone
(870) 238-8531

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Community/Retail Pharmacy 3336C0003X AR06581 AR Primary

Addresses

Primary practice location

718 Falls Blvd S
Wynne, AR 72396-3514

Mailing address

PO Box 757
Wynne, AR 72396-0757
Phone (870) 238-8531

Other identifiers 1

IdentifierTypeStateIssuer
0406581OtherNABP NCPDP

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1131667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1457332850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 757",
            "city": "WYNNE",
            "state": "AR",
            "postal_code": "723960757",
            "telephone_number": "870-238-8531",
            "fax_number": "870-238-5982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 FALLS BLVD S",
            "city": "WYNNE",
            "state": "AR",
            "postal_code": "723963514",
            "telephone_number": "870-238-8531",
            "fax_number": "870-238-5982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYNNE MEDICAL PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-11",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "ONEAL",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "GOODART",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "870-238-8531",
        "authorized_official_credential": "PD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AR",
            "license": "AR06581",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP NCPDP",
            "identifier": "0406581",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wynne, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.