COFFEE RX LLC (NPI# 1285139030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285139030 |
| Entity Type | Organization |
| Organization Name | COFFEE RX LLC |
| Other Organization Name | INDUSTRIA COFFEE & PHARMACY |
| Practice Address |
106 S Mays St Ste 100 Round Rock TX 78664 |
| Mailing Address |
106 S Mays St Ste 100 Round Rock TX 78664-5850 |
| Practice Telephone | 5122381146 |
| Practice Fax Number | 5122381148 |
| Mailing Telephone | 5122381146 |
| Mailing Fax Number | 5122381148 |
| Enumeration Date | 2018-03-26 |
| Last Update Date | 2018-08-16 |
| Authorized Official Name | VAN COWAN (PHARMACIST IN CHARGE/AO) |
| Authorized Official Telephone | 5124662966 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
31891 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2176356 | 01 |
| Other Name | Type Code |
|---|---|
| Industria Coffee & Pharmacy | Doing Business As Name - Organization |
| Street Address |
106 S MAYS ST STE 100 |
| City | ROUND ROCK |
| State | TX |
| Zip Code | 78664 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710526900 | Yan Wei Chan | Acupuncturist | 894 Summit St. Suite 109, Round Rock, TX 78664 | 2020-01-06 |
| 1508369224 | Daniel Bernard Hall | Nurse Practitioner | 1700 East Palm Valley Blvd, Roundrock, TX 78664 | 2018-03-09 |
| 1407361561 | Double Creek Assisted Living Lp | Assisted Living Facility | 3200 Louis Henna Blvd., Round Rock, TX 78664 | 2017-12-11 |
| 1396254694 | Gezahgne T Bogale | Driver | 1908 Huxley Ln, Round Rock, TX 78664 | 2017-09-29 |
| 1942728563 | Kathryn Dufresne | Massage Therapist | 896 Summit Street Suite 104b, Round Rock, TX 78664 | 2017-09-04 |
| 1699213686 | I&r Health Services | Case Management | 2501 Louis Henna Blvd Apt 914, Round Rock, TX 78664 | 2017-02-09 |
| 1588018394 | The Heidi Group | Family Medicine | 894 Summit St Ste 108, Round Rock, TX 78664 | 2016-04-18 |
| 1902264963 | Round Rock Emergency Physicians | Clinic/Center | 1925 Aw Grimes Blvd, Round Rock, TX 78664 | 2016-02-05 |
| 1508230137 | Michael Fuentes | Community Health Worker | 117-b Louis Henna Blvd, Ste. 200, Round Rock, TX 78664 | 2015-11-19 |
| 1811311558 | Wade Woytek | Chiropractor | 2601 Red Bud Lane, Round Rock, TX 78664 | 2014-02-18 |
| Find all providers in zip 78664 | ||||
| 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 |
|---|---|---|---|---|
| 1164086088 | Baylor Health Enterprises, L.p. | Pharmacy | 2590 Oakmont Dr Ste 620, Round Rock, TX 78665-1040 | 2019-04-25 |
| 1598239709 | Austin Gastroenterology Pa | Pharmacy | 7200 Wyoming Springs Dr Ste 100, Round Rock, TX 78681-4304 | 2019-01-22 |
| 1629522347 | Mpn Pharmacy Mgt LLC | Pharmacy | 7201 Wyoming Springs Dr Ste 300, Round Rock, TX 78681-4311 | 2016-08-10 |
| 1588020077 | Agape Force Solutions Inc | Pharmacy | 1000 Mark Omeara Cv, Round Rock, TX 78664-5837 | 2016-01-13 |
| 1538400296 | H-e-b, Lp | Pharmacy | 603 Louis Henna Blvd, Round Rock, TX 78664 | 2013-03-06 |
| 1427136274 | Walgreen Co. | Pharmacy | 4550 E Palm Valley Blvd, Round Rock, TX 78665-2657 | 2006-11-01 |
| 1750488243 | Cvs Pharmacy Inc | Pharmacy | 800 W Old Settlers Blvd, Round Rock, TX 78681 | 2006-09-19 |
| 1750750196 | Apc Pharmacy, Pllc | Pharmacy | 2000 S Mays St, Suite 200, Round Rock, TX 78664-7531 | 2015-09-16 |
| 1578987350 | Healthscripts of America-north Austin, LLC | Pharmacy | 7700 Cat Hollow Dr, Suite 101, Round Rock, TX 78681-5796 | 2014-02-13 |
| 1801074190 | Seton Family of Hospitals | Pharmacy | 201 Seton Pkwy, Round Rock, TX 78665-8000 | 2008-02-08 |
| Find all providers in ROUND ROCK | ||||
| City | ROUND ROCK |
| Zip Code | 78664 |
Please comment or provide details below to improve the information on COFFEE RX LLC.
| 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.