KRAEGE DRUG STORE (NPI# 1053462838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053462838 |
| Entity Type | Organization |
| Organization Name | KRAEGE DRUG STORE |
| Other Organization Name | THE KRAEGE DRUG STORE |
| Practice Address |
113 E Main St Yorktown TX 78164-2030 |
| Mailing Address |
Po Box 727 Yorktown TX 78164-0727 |
| Practice Telephone | 3615642216 |
| Mailing Telephone | 3615642216 |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2016-11-28 |
| Authorized Official Name | THOMAS KRAEGE (PARTNER) |
| Authorized Official Telephone | 3615642216 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
00293 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 0185774-01 | 05 | |
| TX | 130669 | 05 | |
| TX | NCPDP NUMBER | 4534055 | 01 |
| Other Name | Type Code |
|---|---|
| THE KRAEGE DRUG STORE | Other Name - Individual/Organization |
| Street Address |
113 E MAIN ST |
| City | YORKTOWN |
| State | TX |
| Zip Code | 78164-2030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447386008 | Yorktown Isd | Counselor | 331 W Main St, Yorktown, TX 78164 | 2007-02-26 |
| 1659568442 | Golden Days Villa Inc | Assisted Living Facility | 439 East Main, Yorktown, TX 78164-0365 | 2007-09-26 |
| 1063415107 | Yorktown Emergency Medical Service | Ambulance | 508 N Riedel St, Yorktown, TX 78164-1810 | 2005-05-23 |
| 1821422551 | Dewitt Medical District | Family Medicine | 508 N Riedel St, Yorktown, TX 78164-1810 | 2013-08-29 |
| 1619055571 | Gracia Medical, LLP | Family Medicine | 508 N Riedel St, Yorktown, TX 78164-1810 | 2006-11-01 |
| 1447344635 | Carolyn Dale Denton | Family Medicine | 508 N Riedel St, Yorktown, TX 78164-1810 | 2006-10-03 |
| 1710913785 | Gordon Barth | Family Medicine | 508 N Riedel St, Yorktown, TX 78164-1810 | 2006-06-23 |
| 1437193943 | Laura Pacek | Physician Assistant | 508 N Riedel St, Yorktown, TX 78164-1810 | 2006-06-15 |
| 1669644597 | Kelly Dean Hranicky | Licensed Vocational Nurse | 341 S Reidel, Yorktown, TX 78164-2024 | 2008-04-01 |
| 1407845068 | Diversicare Leasing Corp. | Skilled Nursing Facility | 670 W 4th St, Yorktown, TX 78164-5092 | 2005-10-17 |
| Find all providers in zip 78164 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679063523 | Heritage Pharmacy LLC | Pharmacy | 5922b George Washington Mem Hwy, Yorktown, VA 23692 | 2018-05-16 |
| 1871784389 | Walgreen Co | Pharmacy | 6608 George Washington Mem Hwy, Yorktown, VA 23692-4801 | 2007-08-08 |
| 1902436017 | Tabb Family Pharmacy Inc | Pharmacy | 1215 George Washington Mem Hwy Ste D, Yorktown, VA 23693-4316 | 2020-01-17 |
| 1720182777 | Indiana University Health Ball Memorial Hospital Inc | Pharmacy | 1420 S Pilgrim Blvd, Yorktown, IN 47396-9250 | 2006-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831790575 | Nextlevel Pharmaceuticals LLC | Pharmacy | 1110 Texas Pkwy, Stafford, TX 77477-6419 | 2020-11-06 |
| 1629679410 | Duehan Tran Ngo | Pharmacy | 403 W Sam Houston Pkwy N, Houston, TX 77024-4736 | 2020-11-06 |
| 1679174882 | Comanche County Medical Center Company | Pharmacy | 1870 State Hwy 36, Rising Star, TX 76471 | 2020-11-04 |
| 1629679717 | Edith Achebodt | Pharmacy | 2233 Avenue J Ste 103b, Arlington, TX 76006-5884 | 2020-11-04 |
| 1356942767 | Rxassist Pharmacy, Inc. | Pharmacy | 17020 Beaver Springs Dr Ste 8, Houston, TX 77090-2398 | 2020-11-03 |
| 1154921864 | Mbepe Health LLC | Pharmacy | 301 S 9th St Ste 121, Richmond, TX 77469-3448 | 2020-10-30 |
| 1639779366 | Mens African Investors | Pharmacy | 6355 S Peek Rd Ste 300, Katy, TX 77450-7195 | 2020-10-30 |
| 1861091977 | A Medizona Pharmacy | Pharmacy | 3700 Barker Cypress Rd, Suite 700, Houston, TX 77084 | 2020-10-20 |
| 1952900078 | Nudo Pharmacy LLC | Pharmacy | 104 Industrial Blvd Ste 201, Sugar Land, TX 77478-3174 | 2020-10-20 |
| 1194324277 | Rite Scripts Pharmacy Inc | Pharmacy | 13835 Westhollow Park Dr Apt 2805, Houston, TX 77082-1885 | 2020-10-20 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.