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Organization Active NPI

Wynne Medical Pharmacy of Cross County Inc

  • Community/Retail Pharmacy
  • Wynne, AR
National Provider Identifier
1982997524
Registry record updated Jun 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
06581 Issued in AR
Legal business name
WYNNE MEDICAL PHARMACY OF CROSS COUNTY INC
Doing business as
Wynne Medical Pharmacy of Cross County Inc.
Practice address
718 Falls Blvd S
Wynne, AR 72396-3514
Phone
(870) 238-8531
Fax
(870) 238-5982
NPI assigned
May 16, 2011
Last updated
Jun 23, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2011

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

Authorized official

Name
Steve Bryant
Title
President
Phone
(870) 793-3999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 06581 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
0423652OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • WYNNE MEDICAL PHARMACY OF CROSS COUNTY INC. Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Wynne Medical Pharmacy of Cross County Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1305504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308787200000",
    "number": "1982997524",
    "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 OF CROSS COUNTY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-16",
        "last_updated": "2011-06-23",
        "status": "A",
        "authorized_official_last_name": "BRYANT",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "870-793-3999"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AR",
            "license": "06581",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0423652",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WYNNE MEDICAL PHARMACY OF CROSS COUNTY INC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 23, 2011; 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.