AMYCO INC NPI 1407881360

NPI Information

  • NPI: 1407881360
  • Provider Name: AMYCO, INC
  • Classification: Pharmacist - 183500000X
  • Entity Type: Organization
  • Doing Business As: ANDERSON'S DISCOUNT PHARMACY
  • CLIA Number: 04D2153217
  • Address: 700 LEXINGTON AVE
    FORT SMITH, AR
    ZIP 72901
  • Phone: (479) 782-2881

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NPI Details

AMYCO, INC is a pharmacist in Fort Smith, AR. The provider is an individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. AMYCO, INC NPI is 1407881360. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Anderson's Discount Pharmacy.

The provider's business location address is:

700 LEXINGTON AVE
FORT SMITH, AR
ZIP 72901-738
Phone: (479) 782-2881
Fax: (479) 782-3974

The provider's authorized official is Kandice Amy Gibbons .
The authorized official title is OWNER PHARMACISTPharmacist and has the following contact phone number (479) 782-2881.

The CLIA number assigned to this NPI record is 04D2153217 - pharmacy with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count (HCPCS:K1034)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Adm sarscv2 30mcg trs-sucr b (HCPCS:0054A)
  • Fee covid-19 vac 13 res (HCPCS:0124A)
  • Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage (HCPCS:90686)
  • Coronavirus vaccine 13 (HCPCS:91312)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Adm sarscov2 30mcg/0.3ml 3rd (HCPCS:0003A)
  • Adm sarscov2 50 mcg/.5 mlbst (HCPCS:0094A)
  • Fee covid-19 vac 14 res (HCPCS:0134A)
  • Coronavirus vaccine 14 (HCPCS:91313)

The enumeration date for this NPI number is 7/11/2006 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1183500000XPharmacistARKANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1100801990AMEDICAIDOKLAHOMA
2152323716MEDICAIDARKANSAS
3100240420AMEDICAIDOKLAHOMA
4148970407MEDICAIDARKANSAS
549917OTHERARKANSASBLUE CROSS & BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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