KIRK WINES (NPI# 1518042803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518042803 |
| Entity Type | Organization |
| Organization Name | KIRK WINES |
| Other Organization Name | OLD CORNER DRUG |
| Practice Address |
200 N Main St West TX 76691-1207 |
| Practice Telephone | 2548265122 |
| Practice Fax Number | 2548263768 |
| Mailing Telephone | 2548265122 |
| Mailing Fax Number | 2548263768 |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2016-06-06 |
| Authorized Official Name | AVERY WINES (OWNER PIC) |
| Authorized Official Telephone | 2548265122 |
| 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 |
6826 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 16437801 | 05 | |
| PK | 2096212 | 01 | |
| TX | 142315 | 05 |
| Other Name | Type Code |
|---|---|
| OLD CORNER DRUG | Doing Business As Name - Organization |
| Street Address |
200 N MAIN ST |
| City | WEST |
| State | TX |
| Zip Code | 76691-1207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962921700 | Old Corner Drug | Pharmacy | 200 N Main St, West, TX 76691-1207 | 2017-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194243667 | Lauren Nicole Wernet | Specialist/Technologist | 305 Vardiman Rd, West, TX 76691 | 2017-09-05 |
| 1952433310 | P S Well-child Clinic | Family Medicine | 407 W Oak St., West, TX 76691 | 2007-03-12 |
| 1154467934 | Dr Walter J Mellgren Jr Dc Pa | Chiropractor | 109 N Regan St, West, TX 76691 | 2007-01-29 |
| 1093878092 | West Station Enterprise Inc | Durable Medical Equipment & Medical Supplies | 1579 Tokio Rd, West, TX 76691 | 2006-12-19 |
| 1790897601 | Generation Rx Inc. | Durable Medical Equipment & Medical Supplies | 206 N Main St, West, TX 76691 | 2006-08-31 |
| 1962416487 | Billy Don Pierce | General Practice | 407 W Oak St, West, TX 76691 | 2006-07-28 |
| 1891727004 | Avery Kirk Wines | Pharmacist | 200 N Main, West, TX 76691 | 2006-07-07 |
| 1083725816 | Paula Ann Snokhous | Physician Assistant | 407 W Oak St, West, TX 76691 | 2006-08-31 |
| 1558469312 | Larry D Sparks | Dentist | 312 N Main, West, TX 76691-0369 | 2006-09-20 |
| 1386675262 | Walter Jean Mellgren Jr. | Chiropractor | 109 N Reagan St, West, TX 76691-0475 | 2006-07-06 |
| Find all providers in zip 76691 | ||||
| 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] |
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|---|---|---|---|---|
| 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.