Gosnell Drugs Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

GOSNELL DRUGS INC.

Practice address

134 Bevill Ave
Gosnell, AR 72315

Phone

(573) 559-5525

NPI assigned

Dec 28, 2018

Last updated

Aug 26, 2026By 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

Tyson Wallace, PHARM.D.NPI 1982296877

Title

Owner

Phone

(870) 751-9242

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AR2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 3

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.

• Tyson Wallace, PHARM. D.

  • Pharmacist
  • Gosnell, AR
  • NPI 1982296877
  NPD Authorized official
• Brandon Glenn Michael, PHARM.D

  • Pharmacist
  • Gosnell, AR
  • NPI 1912599895
  NPD
• Natalie Crockett

  • Pharmacist
  • Gosnell, AR
  • NPI 1649095852
  NPD (past)

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

{
    "created_epoch": "1545955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787702400000",
    "number": "1770055923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 BEVILL AVE",
            "city": "GOSNELL",
            "state": "AR",
            "postal_code": "72315",
            "telephone_number": "870-751-9242",
            "fax_number": "870-751-9291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 BEVILL AVE",
            "city": "GOSNELL",
            "state": "AR",
            "postal_code": "72315",
            "telephone_number": "573-559-5525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOSNELL DRUGS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-28",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "TYSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-751-9242",
        "authorized_official_credential": "PHARM.D."
    },
    "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "234926407",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "600073809",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angels Personal Care
• Arkansas Cognitive Care LLC
• CHC Gosnell Health and Rehab, LLC (Gosnell Health and Rehab)
• Natalie Crockett
• GNNC, Inc (Gosnell Therapy and Living)
• Gosnell Healthcare,Inc.
• Gosnell School District
• Gosnell Therapy and Living Center, Inc.
• Whitney Johnson, PMHNP-BC
• Janet Mason, MSP CCC SLP L

• Community/Retail Pharmacy in Gosnell, AR
• Providers in Gosnell, 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, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.