My PokeStop was approved but it doesn't appear in the game

Those other exclamation points in your nearby check could be wayspot imports to be used as powerspots only. They are recognizable by the placeholder photo - unless someone has added a photo. These do not have to meet criteria, and often will match a Google Maps label. This was a one time import, and would explain why you see “Wayspots used in other Niantic games” in an empty cell.

Here is a clarification on Power Spots: