JIM BOB EVERETT (NPI# 1578671673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578671673 |
| Entity Type | Organization |
| Organization Name | JIM BOB EVERETT |
| Other Organization Name | EVERETTS PHARMACY SONORA |
| Practice Address |
417 Highway 277 N Sonora TX 76950-2204 |
| Mailing Address |
Po Box 527 Sonora TX 76950-0527 |
| Practice Telephone | 3253872541 |
| Practice Fax Number | 3253875423 |
| Mailing Telephone | 3253872541 |
| Mailing Fax Number | 3253875423 |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2011-04-06 |
| Authorized Official Name | JIM BOB EVERETT (OWNER/PIC) |
| Authorized Official Telephone | 3253872541 |
| Authorized Official Credential | REG. PHARMACIST |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
23182 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | TEXAS STATE BOARD OF PHAR | 23182 | 01 |
| TX | DEA NUMBER | BE8778803 | 01 |
| TX | 145400 | 05 | |
| TX | DPS NUMBER | B0134686 | 01 |
| Other Name | Type Code |
|---|---|
| EVERETTS PHARMACY SONORA | Doing Business As Name - Organization |
| Street Address |
417 HIGHWAY 277 N |
| City | SONORA |
| State | TX |
| Zip Code | 76950-2204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962700435 | Jim Everett | Pharmacist | 417 Highway 277 N, Sonora, TX 76950-2204 | 2011-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598273989 | Pharm House Sonora, LLC. | Pharmacy | 417 Us-277 N, Sonora, TX 76950 | 2018-01-19 |
| 1346310745 | Kathryn Laraine Fordahl | Physician Assistant | 301b Hudspeth Ave, Sonora, TX 76950 | 2006-11-09 |
| 1922197417 | Diana Lee Arteaga | Physician Assistant | 301 Hudspeth Avenue, A, Sonora, TX 76950 | 2006-10-12 |
| 1740379239 | Monica Rae Kessler | Emergency Medicine | 301-a Hudspeth Avenue, Sonora, TX 76950 | 2006-10-12 |
| 1184665952 | Charles Ray Pajestka | Family Medicine | 301a Hudspeth Avenue, Sonora, TX 76950 | 2006-06-10 |
| 1871970962 | William Curtis Griffin | Family Medicine | 301 Hudspeth St Ste B, Sonora, TX 76950 | 2015-04-28 |
| 1427137058 | Charles R Pajestka Md | Family Medicine | 301a Hudspeth Avenue, Sonora, TX 76950 | 2006-11-03 |
| 1528623378 | Veronica Virginia Garza | Non-emergency Medical Transport (VAN) | 809 E Poplar St, Sonora, TX 76950-2657 | 2019-05-07 |
| 1467740704 | Sutton County Hospital District | Ambulance | 211 E 3rd St, Sonora, TX 76950-6439 | 2011-07-20 |
| 1912005166 | County of Sutton | Ambulance | 211 E 3rd St, Sonora, TX 76950-6439 | 2006-09-20 |
| Find all providers in zip 76950 | ||||
| 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 |
|---|---|---|---|---|
| 1598273989 | Pharm House Sonora, LLC. | Pharmacy | 417 Us-277 N, Sonora, TX 76950 | 2018-01-19 |
| 1689913840 | Sonora Pharmacy | Pharmacy | 726 Mono Way, Sonora, CA 95370-5233 | 2013-02-07 |
| 1508114463 | South Dixie Pharmacy LLC | Pharmacy | 12134 South Dixie Highway, Sonora, KY 42776 | 2012-08-27 |
| 1073653242 | Bob's Greenley Pharmacy Inc | Pharmacy | 800 Delnero Dr, Sonora, CA 95370-5221 | 2007-02-07 |
| 1073556833 | Longs Drug Stores California LLC | Pharmacy | 13763 Mono Way, Sonora, CA 95370-8813 | 2006-06-13 |
| 1285657130 | Tuolumne General Hospital Phcy | Pharmacy | 101 Hospital Rd, Sonora, CA 95370-5227 | 2006-07-25 |
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| 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.