MCCLURES COMPOUNDING PHARMACY LLC (NPI# 1891175212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891175212 |
| Entity Type | Organization |
| Organization Name | MCCLURES COMPOUNDING PHARMACY LLC |
| Other Organization Name | MCCLURES COMPOUNDING PHARMACY LLC |
| Practice Address |
105 Wildwood Dr Ste 101 Georgetown TX 78633-1344 |
| Practice Telephone | 5128199841 |
| Practice Fax Number | 5125327100 |
| Mailing Telephone | 5128199841 |
| Mailing Fax Number | 5125327100 |
| Enumeration Date | 2015-06-01 |
| Last Update Date | 2018-07-19 |
| Authorized Official Name | CHRIS MCELFRESH (PHARMACY MANAGER/AO) |
| Authorized Official Telephone | 5128199841 |
| 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 |
30320 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2176335 | 01 |
| Other Name | Type Code |
|---|---|
| McClures Compounding Pharmacy LLC | Doing Business As Name - Organization |
| Street Address |
105 WILDWOOD DR STE 101 |
| City | GEORGETOWN |
| State | TX |
| Zip Code | 78633-1344 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588036941 | Carla Simard | Pharmacist | 105 Wildwood Dr Ste 101, Georgetown, TX 78633-1344 | 2015-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568098937 | Medsur One Telemedicine LLC | Nurse Practitioner | 110 Eisenhower Court (administrative Office Location), 1309 Coffeen Ave Ste 1200 Sheridan Wy 82801, Georgetown, TX 78633 | 2020-03-18 |
| 1467946384 | Majestic Healthcare, Pllc | Nurse Practitioner | 110 Eisenhower Ct, Georgetown, TX 78633 | 2018-06-15 |
| 1912419649 | Randalls Food & Drugs Lp | Durable Medical Equipment & Medical Supplies | 5721 Williams Dr, Georgetown, TX 78633 | 2017-11-03 |
| 1255783510 | Peter James Mcgrath | Physical Therapist | 4749 Williams Drive, Suite 335, Georgetown, TX 78633 | 2016-07-11 |
| 1316357346 | Cody Ryon Gomez | Internal Medicine | 3201 South Austin Ave, Suite 205, Georgetown, TX 78633 | 2014-04-29 |
| 1902130701 | Don Wayne Berry | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 624 Rio Grand Loop, Georgetown, TX 78633 | 2009-09-25 |
| 1851567499 | Georgetown Pediatric Dentistry, LLC | Dentist | 4507 Williams Drive, Georgetown, TX 78633 | 2008-05-04 |
| 1215035845 | Saramma George | Family Medicine | 105 Wildwood Drive, Suite 105, Georgetown, TX 78633 | 2006-09-20 |
| 1104834258 | Mobile Cr Imaging, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 4749 Williams Dr, Georgetown, TX 78633 | 2006-08-04 |
| 1619997350 | Kathryn E Holland | Counselor | 603 Chambers Creek Ct, Georgetown, TX 78633 | 2006-07-19 |
| Find all providers in zip 78633 | ||||
| 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 |
|---|---|---|---|---|
| 1831445873 | Walgreen Co | Pharmacy | 5317 Williams Dr, Georgetown, TX 78633-9202 | 2012-07-27 |
| 1427354190 | Omshree Corporation | Pharmacy | 432 E Market St, Georgetown, DE 19947-2266 | 2011-01-28 |
| 1437452398 | Mary & Ralph Pharmacy Inc | Pharmacy | 1520 Sun City Blvd Ste 160, Georgetown, TX 78633-5349 | 2010-12-15 |
| 1609953611 | The Drug Store Inc | Pharmacy | 1044 North Luther Rd, Georgetown, IN 47122-9122 | 2006-11-01 |
| 1043391139 | Linger Enterprises, Inc. | Pharmacy | 705 South Broadway, Georgetown, KY 40324-1164 | 2006-10-17 |
| 1073617809 | Ohio Cvs Stores LLC | Pharmacy | 521 E State St, Georgetown, OH 45121-1420 | 2006-09-12 |
| 1528162351 | Cvs Pharmacy Inc | Pharmacy | 4426 Williams Dr, Georgetown, TX 78628-1341 | 2006-09-12 |
| 1346344157 | Cvs Pharmacy Inc | Pharmacy | 1102 S Austin Ave, Georgetown, TX 78626-6700 | 2006-09-12 |
| 1912381799 | Walmart | Pharmacy | 1310 N Fraser St, Attn: Pharmacy, Georgetown, SC 29440-2800 | 2015-07-12 |
| 1003984071 | Baylor Health Enterprises Lp | Pharmacy | 4945 Williams Dr, Georgetown, TX 78633-2008 | 2006-11-30 |
| Find all providers in GEORGETOWN | ||||
| City | GEORGETOWN |
| Zip Code | 78633 |
Please comment or provide details below to improve the information on MCCLURES COMPOUNDING PHARMACY 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.