BANDERA DRUG, LLC (NPI# 1922470483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922470483 |
| Entity Type | Organization |
| Organization Name | BANDERA DRUG, LLC |
| Practice Address |
1100 Mulberry Street Bandera TX 78003 |
| Mailing Address |
P.o. Box 2280 1100 Mulberry Street Bandera TX 78003 |
| Practice Telephone | 8307963111 |
| Practice Fax Number | 8307963115 |
| Mailing Telephone | 8307963111 |
| Mailing Fax Number | 8307963115 |
| Enumeration Date | 2015-10-23 |
| Last Update Date | 2015-10-23 |
| Authorized Official Name | WAYNE ANTENEN (MANAGER) |
| Authorized Official Telephone | 8307963111 |
| Authorized Official Credential | R.PH. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
30261 | TX | Suppliers |
| Street Address |
1100 MULBERRY STREET |
| City | BANDERA |
| State | TX |
| Zip Code | 78003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275178303 | Lonestar Sleep Solutions, LLC | Dentist | 315 13th St, Bandera, TX 78003 | 2019-11-13 |
| 1063056323 | Sandra Lynn Ingram | Technician | 810 Lacey Drive, Bandera, TX 78003 | 2019-10-30 |
| 1942851068 | Ashley Kothmann | Dentist | 315 13th St., Bandera, TX 78003 | 2019-09-20 |
| 1649736307 | Erick David Samardak | Licensed Vocational Nurse | 159 Montague Dr, Bandera, TX 78003 | 2019-02-18 |
| 1760957641 | Jenna Elise Sako | Dentist | 607a Main Street, Bandera, TX 78003 | 2018-10-08 |
| 1619459930 | Regina Mason Vanburg | Psychologist | 1211 Cherry St., Bandera, TX 78003 | 2018-09-04 |
| 1386138139 | Jamye Sue Buckley | Physical Therapy Assistant | 182 Betsy, Bandera, TX 78003 | 2018-06-15 |
| 1689080285 | Cynthia Ann Anderson | Counselor | 503 Ninth St., None, Bandera, TX 78003 | 2014-07-03 |
| 1083957898 | Bandera Speech Therapy LLC | Speech-Language Pathologist | 157 Hwy 16 South, Bandera, TX 78003 | 2013-03-29 |
| 1215271648 | April Smith | Speech-Language Pathologist | 157 Highway 16 South, Bandera, TX 78003 | 2012-11-26 |
| Find all providers in zip 78003 | ||||
| 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 | ||||
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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.