Wynne Apothecary Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

AR14588 Issued in AR

Legal business name

WYNNE APOTHECARY INC

Doing business as

Wynne Apothecary

Practice address

500 Falls Blvd N
Wynne, AR 72396-2612

Phone

(870) 238-8511

Fax

(870) 238-2135

NPI assigned

Aug 23, 2005

Last updated

Aug 26, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Stacy Elizabeth Cooper, PHARMDNPI 1295989176

Title

New Owner/Pharmacist in Charge

Phone

(870) 238-8511

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• WYNNE APOTHECARY Doing business as

Medicare fee-for-service enrollment

Enrolled in AR2 enrollments

Enrollment records 2

Practitioners 2

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.

• Stacy E Cooper, PHARMD

  • Pharmacist
  • Wynne, AR
  • NPI 1295989176
  NPD Authorized official
• Hayley Owens

  • Pharmacist
  • Wynne, AR
  • NPI 1538058060
  NPD

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756166400000",
    "number": "1508859737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 361",
            "address_2": "411 S FALLS BLVD",
            "city": "WYNNE",
            "state": "AR",
            "postal_code": "723960361",
            "telephone_number": "870-238-8511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 FALLS BLVD N",
            "city": "WYNNE",
            "state": "AR",
            "postal_code": "723962612",
            "telephone_number": "870-238-8511",
            "fax_number": "870-238-2135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYNNE APOTHECARY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-23",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "STACY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "NEW OWNER/PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "870-238-8511",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AR",
            "license": "AR14588",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1994724",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100505407",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WYNNE APOTHECARY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "WYNNE APOTHECARY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Allison Whittemore
• William Blake Williams, LCSW
• Nathan Wilson
• Samantha Wood, PT
• Norman Wooten
• Wynne Apothecary Inc
• Wynne Healthcare Center, LLC
• Wynne Medical Clinic
• Wynne Medical Clinic
• Wynne Medical Clinic PA

• Community/Retail Pharmacy in Wynne, AR
• Providers in Wynne, AR by specialty
• Community/Retail Pharmacy in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.