VIDOR PHARMACY LLC. (NPI# 1356477764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356477764 |
| Entity Type | Organization |
| Organization Name | VIDOR PHARMACY LLC. |
| Other Organization Name | VIDOR FAMILY PHARMACY |
| Practice Address |
1130 N Main St Vidor TX 77662 |
| Mailing Address |
1130 N Main St Vidor TX 77662-3739 |
| Practice Telephone | 4097692406 |
| Practice Fax Number | 4097698250 |
| Mailing Telephone | 4097692406 |
| Mailing Fax Number | 4097698250 |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2019-11-26 |
| Authorized Official Name | TREY HANEY (MANAGER) |
| Authorized Official Telephone | 4097692406 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
25444 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2096358 | 01 | |
| TX | 149213 | 05 |
| Other Name | Type Code |
|---|---|
| Vidor Family Pharmacy | Doing Business As Name - Organization |
| Street Address |
1130 N MAIN ST |
| City | VIDOR |
| State | TX |
| Zip Code | 77662 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497033674 | Minor Home Healthcare & Housekeeping Associates | Custodial Care Facility | 2730 Hwy 12 Ste. 2, Vidor, TX 77662 | 2011-07-22 |
| 1114566833 | Crystal Young | Nurse Practitioner | 2353 N Main St, Vidor, TX 77662-2610 | 2019-12-27 |
| 1770035966 | Terri Jo Clark | Nurse Practitioner | 2353 N Main St, Vidor, TX 77662-2610 | 2016-11-04 |
| 1952798191 | Suhani Bhakta | Family Medicine | 2353 N Main St, Vidor, TX 77662-2610 | 2015-04-24 |
| 1801999727 | Jason M Holmes | Chiropractor | 2612 N Main St, Vidor, TX 77662-2674 | 2006-09-06 |
| 1598038564 | American Eagle Medical Supply | Durable Medical Equipment & Medical Supplies | 2612 N Main St, Vidor, TX 77662-2674 | 2012-02-21 |
| 1174023691 | Kathy Blankenship | Home Health | 615 Evangeline Dr, Vidor, TX 77662-2719 | 2018-02-21 |
| 1770646150 | Promed Medical & Respiratory Supply, Inc. | Durable Medical Equipment & Medical Supplies | 1465 N Main St, Vidor, TX 77662-3009 | 2006-12-18 |
| 1972584852 | Texas Total Care,inc. | Home Health | 1880 N Main St, Vidor, TX 77662-3018 | 2005-11-08 |
| 1063793586 | Michael K Crossley, M D P A | Family Medicine | 1880 N Main St, Vidor, TX 77662-3018 | 2011-08-30 |
| Find all providers in zip 77662 | ||||
| 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 |
|---|---|---|---|---|
| 1467556274 | Cvs Pharmacy Inc | Pharmacy | 1295 N Main St, Vidor, TX 77662-3740 | 2006-09-12 |
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|---|---|---|---|---|
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| 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.