CC PHARMACY 3 LLC (NPI# 1639669005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639669005 |
| Entity Type | Organization |
| Organization Name | CC PHARMACY 3 LLC |
| Other Organization Name | CC PHARMACY 3 |
| Practice Address |
3000 Joe Dimaggio Blvd Ste 57 Round Rock TX 78665-3996 |
| Mailing Address |
3000 Joe Dimaggio Blvd Suite #57 Round Rock TX 78665-3922 |
| Practice Telephone | 7372024101 |
| Practice Fax Number | 7372024104 |
| Mailing Telephone | 7372024101 |
| Mailing Fax Number | 7372024104 |
| Enumeration Date | 2018-05-11 |
| Last Update Date | 2018-07-19 |
| Authorized Official Name | WARREN DEFORGE (PHARMACIST) |
| Authorized Official Telephone | 7372024101 |
| 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 |
31312 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2177684 | 01 |
| Other Name | Type Code |
|---|---|
| CC Pharmacy 3 | Doing Business As Name - Organization |
| Street Address |
3000 JOE DIMAGGIO BLVD STE 57 |
| City | ROUND ROCK |
| State | TX |
| Zip Code | 78665-3996 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992314306 | Prolab Incorporated | Clinical Medical Laboratory | Pro-lab Diagnostics Us, 21 Cypress Blvd. Ste. 1155, Round Rock, TX 78665 | 2020-07-31 |
| 1902420391 | Seton Family of Doctors | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 201 University Oaks Blvd, Suite 1260, Round Rock, TX 78665 | 2020-06-02 |
| 1629538848 | Julie Mai Nguyen | Student in an Organized Health Care Education/Training Program | 425 University Blvd., Suite 300, Ms-m2 3.006, Round Rock, TX 78665 | 2019-03-22 |
| 1881154177 | Emily Victoria Bergstrom | Student in an Organized Health Care Education/Training Program | Baylor Scott & White Clinic, 425 University Blvd., Suite 345, Round Rock, TX 78665 | 2019-03-22 |
| 1710473210 | Brandi Weldon | Doula | 1561 Kenneys Way, Round Rock, TX 78665 | 2018-07-08 |
| 1528564531 | Stacy Danielle Arrington | Student in an Organized Health Care Education/Training Program | Baylor Scott & White Medical Center- Round Rock, 425 University Blvd, Suite 300, Ms-m2 3.005, Round Rock, TX 78665 | 2018-03-30 |
| 1386152601 | Stephanie Michelle Martinez | Behavioral Analyst | 1503 Balsam Way, Round Rock, TX 78665 | 2018-01-22 |
| 1245758507 | The Natural Birthing Center, LLC | Clinic/Center | 1101 Satellite View Suite 104, Round Rock, TX 78665 | 2017-09-06 |
| 1386160554 | Bloom Consulting, LLC | Community/Behavioral Health | 3001 Joe Dimaggio Blvd Ste 800, Round Rock, TX 78665 | 2017-08-18 |
| 1508387226 | Ipyana Anyelwisye | Psychologist | 3636 Short Horn Ln, Round Rock, TX 78665 | 2017-07-03 |
| Find all providers in zip 78665 | ||||
| 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 | 78665 |
Please comment or provide details below to improve the information on CC PHARMACY 3 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.