SOUTHSIDE PHARMACY INC (NPI# 1669579504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669579504 |
| Entity Type | Organization |
| Organization Name | SOUTHSIDE PHARMACY INC |
| Other Organization Name | NICHOLS SOUTHSIDE PHARMACY |
| Practice Address |
3141 Gollihar Rd Corpus Christi TX 78415-5057 |
| Practice Telephone | 3618528288 |
| Practice Fax Number | 3618547269 |
| Mailing Telephone | 3618528288 |
| Mailing Fax Number | 3618547269 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2009-09-28 |
| Authorized Official Name | JOHN MCNEILL (PHARMACIST OWNER) |
| Authorized Official Telephone | 3618528288 |
| Authorized Official Credential | BS |
| 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 |
00317 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 130889 | 05 | |
| NCPDP PROVIDER IDENTIFICATION NUMBER | 4516552 | 01 |
| Other Name | Type Code |
|---|---|
| NICHOLS SOUTHSIDE PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245209956 | Southside Pharmacy Inc | Pharmacy | 766 Foote Ave, Jamestown, NY 14701-8201 | 2006-03-15 |
| 1548544752 | Southside Pharmacy Inc | Pharmacy | 11964 Escue Dr Ste A, Tanner, AL 35671-3680 | 2011-10-06 |
| 1902948961 | Southside Pharmacy Inc | Pharmacist | 3141 Gollihar Rd, Corpus Christi, TX 78415-5057 | 2007-02-13 |
| Street Address |
3141 GOLLIHAR RD |
| City | CORPUS CHRISTI |
| State | TX |
| Zip Code | 78415-5057 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902948961 | Southside Pharmacy Inc | Pharmacist | 3141 Gollihar Rd, Corpus Christi, TX 78415-5057 | 2007-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639702236 | The Landing At Corpus Christi | Residential Treatment Facility, Emotionally Disturbed Children | 2058 Fm 665, Corpus Christi, TX 78415 | 2020-02-21 |
| 1578093506 | Texas Wellness Center of Corpus Christi Pllc | Chiropractor | 6122 Kostoryz Road, 102, Corpus Christi, TX 78415 | 2017-06-13 |
| 1740574300 | William Lee Townsend | Technician, Other | 2910 South Padre Island Drive, Corpus Christi, TX 78415 | 2011-06-01 |
| 1144523671 | Coastal Bend Wellness Foundation Inc | Case Manager/Care Coordinator | 2882 Holly Rd., Corpus Christi, TX 78415 | 2010-12-06 |
| 1528230422 | True Medical Imaging | Clinic/Center | 3502 Spid, Corpus Christi, TX 78415 | 2008-03-31 |
| 1396949152 | Medical Specialist Group Pa | Physical Medicine & Rehabilitation | 3434 Saratoga Boulevard, Corpus Christi, TX 78415 | 2007-06-13 |
| 1396809158 | Access Rehab & Mobility LLC | Durable Medical Equipment & Medical Supplies | 4531 Ayers St, Suite 304, Corpus Christi, TX 78415 | 2006-12-19 |
| 1912065954 | Jorge S Rodriguez | Legal Medicine | 3845 Spid, Corpus Christi, TX 78415 | 2006-12-04 |
| 1407920200 | Charles Albert Votzmeyer Jr. | Chiropractor | 3434 Saratoga 102, Corpus Christi, TX 78415 | 2006-11-20 |
| 1144390899 | American Habilitation Services Inc | Intermediate Care Facility, Mentally Retarded | 3031 Mcardle, Corpus Christi, TX 78415 | 2006-11-09 |
| Find all providers in zip 78415 | ||||
| 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 |
|---|---|---|---|---|
| 1558907162 | Coastal Bend Cancer Center Pharmacy LLC | Pharmacy | 1625 Rodd Field Rd Ste 100-a, Corpus Christi, TX 78412-4926 | 2019-11-19 |
| 1447819479 | Dmb Health At Corpus LLC | Pharmacy | 1335 Santa Fe St Ste 1, Corpus Christi, TX 78404-2213 | 2019-06-12 |
| 1689131625 | Maxor National Pharmacy Services LLC | Pharmacy | 2882 Holly Rd Ste 100, Corpus Christi, TX 78415-4106 | 2019-02-26 |
| 1528336419 | Moores Pharmacy Inc | Pharmacy | 5802 Saratoga Blvd Ste 100, Corpus Christi, TX 78414-4252 | 2011-12-06 |
| 1336243153 | Cvs Pharmacy Inc | Pharmacy | 4102 Ayers St, Corpus Christi, TX 78415-5315 | 2006-09-12 |
| 1609970425 | Cvs Pharmacy Inc | Pharmacy | 1240 S Port Ave, Corpus Christi, TX 78405-2308 | 2006-09-12 |
| 1477657260 | Cvs Pharmacy Inc | Pharmacy | 2102 Airline Rd, Corpus Christi, TX 78414-2640 | 2006-09-12 |
| 1245334069 | Cvs Pharmacy Inc | Pharmacy | 4166 S Staples St, Corpus Christi, TX 78411-2133 | 2006-09-12 |
| 1427152248 | Cvs Pharmacy Inc | Pharmacy | 4801 S Alameda St, Corpus Christi, TX 78412-2332 | 2006-09-12 |
| 1104920909 | Cvs Pharmacy Inc | Pharmacy | 14525 S Padre Island Dr, Suite B, Corpus Christi, TX 78418-5951 | 2006-09-12 |
| Find all providers in CORPUS CHRISTI | ||||
| City | CORPUS CHRISTI |
| Zip Code | 78415 |
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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.