CALDWELL DISCOUNT DRUG CO. INC. NPI 1992703243

NPI Information

  • NPI: 1992703243
  • Provider Name: CALDWELL DISCOUNT DRUG CO., INC.
  • Classification: Pharmacy - 333600000X
  • Entity Type: Organization
  • Doing Business As: CALDWELL DISCOUNT DRUG
  • Address: 804 FALLS BLVD S
    WYNNE, AR
    ZIP 72396
  • Phone: (870) 238-7085

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NPI Details

CALDWELL DISCOUNT DRUG CO., INC. is a pharmacy in Wynne, AR. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. CALDWELL DISCOUNT DRUG CO., INC. NPI is 1992703243. The provider is registered as an organization entity type.
The provider Is Doing Business As Caldwell Discount Drug.

The provider's business location address is:

804 FALLS BLVD S
WYNNE, AR
ZIP 72396-505
Phone: (870) 238-7085
Fax: (870) 238-8937

The provider's authorized official is Max Allen Caldwell .
The authorized official title is Pharmacist/owner and has the following contact phone number (870) 238-7085.

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.

  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
  • Coronavirus vaccine 14 (HCPCS:91313)
  • Fee covid-19 vac 14 res (HCPCS:0134A)
  • Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count (HCPCS:K1034)
  • Coronavirus vaccine 13 (HCPCS:91312)
  • Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free (HCPCS:90674)
  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • Pneumococcal vaccine, 23-valent (HCPCS:90732)
  • Administration of vaccine (HCPCS:90471)

The enumeration date for this NPI number is 7/11/2005 and was last updated on 6/9/2021.

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
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2333600000XPharmacyAR-14982ARKANSASYes
33336L0003XPharmacyLong Term Care PharmacyNo

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
1113383407MEDICAIDARKANSAS

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: 3/30/2025

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