JOURDANTON PHARMACY LLC (NPI# 1598184004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598184004 |
| Entity Type | Organization |
| Organization Name | JOURDANTON PHARMACY LLC |
| Other Organization Name | JOURDANTON PHARMACY |
| Practice Address |
1810 Highway 97 E Jourdanton TX 78026-1521 |
| Mailing Address |
Po Box 189 Jourdanton TX 78026-0189 |
| Practice Telephone | 8307700770 |
| Practice Fax Number | 8307700973 |
| Mailing Telephone | 8307700770 |
| Mailing Fax Number | 8307700973 |
| Enumeration Date | 2014-04-11 |
| Last Update Date | 2020-09-30 |
| Authorized Official Name | DENNIS CRAWFORD (RPH/CEO) |
| Authorized Official Telephone | 8307700770 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
29137 | TX | Suppliers |
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2145088 | 01 |
| Other Name | Type Code |
|---|---|
| Jourdanton Pharmacy | Doing Business As Name - Organization |
| Street Address |
1810 HIGHWAY 97 E |
| City | JOURDANTON |
| State | TX |
| Zip Code | 78026-1521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033689815 | Tiffany Rose Mitchell | Physical Therapy Assistant | 1504 Tx-97e, Jourdanton, TX 78026 | 2018-12-05 |
| 1184864829 | Jesus Sanchez Ortiz | Contractor | 1909 Mcdowell Avenue, Jourdanton, TX 78026 | 2009-02-20 |
| 1568678688 | Julia Walden | Assisted Living Facility | 1310 Poplar St, Jourdanton, TX 78026 | 2007-05-15 |
| 1801938121 | Advanced Obgyn Care of South Texas | Obstetrics & Gynecology | 1901 Hwy 97 E, Ste 230, Jourdanton, TX 78026 | 2007-02-13 |
| 1013981448 | Anie A Cherian | Podiatrist | 180 County Road 300, Jourdanton, TX 78026 | 2006-02-14 |
| 1346862695 | Megan Shearrer Martin | Pharmacist | 1905 E State Highway 97, Jourdanton, TX 78026-1504 | 2020-05-09 |
| 1891017844 | Atascosa Emergency Medicine Associates Pa | Physician Assistant | 1905 Hwy 97 E, Jourdanton, TX 78026-1504 | 2010-02-18 |
| 1033199542 | Patricio T Villarreal | Emergency Medicine | 1905 Highway 97 E, Emergency Room, Jourdanton, TX 78026-1504 | 2006-01-19 |
| 1922511906 | Tx-i Medical Services Pa | Physician Assistant | 1905 Highway 97 E, Jourdanton, TX 78026-1504 | 2017-11-13 |
| 1679086649 | Remington Emergency Physicians Pllc | Emergency Medicine | 1905 Highway 97 E, Jourdanton, TX 78026-1504 | 2017-11-13 |
| Find all providers in zip 78026 | ||||
| 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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| 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 | ||||
| City | JOURDANTON |
| Zip Code | 78026 |
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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.