The Eddick Corporation

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

27260 Issued in TX

Legal business name

THE EDDICK CORPORATION

Practice address

1015 Hillcrest Dr
Ste B
Vernon, TX 76384-3100

Phone

(940) 552-9501

Fax

(940) 552-2075

NPI assigned

Dec 1, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Adam Bayer

Title

President

Phone

(940) 552-9501

Specialties & licenses 5

Addresses

Other identifiers 1

Other names 1

• Hillcrest Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in TX2 enrollments

Enrollment records 2

Tax ID family

Hillcrest Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• The Eddick Corporation

  • Long Term Care Pharmacy
  • Vernon, TX
  • NPI 1215564414
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721174400000",
    "number": "1003890369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 HILLCREST DR",
            "address_2": "STE B",
            "city": "VERNON",
            "state": "TX",
            "postal_code": "763843100",
            "telephone_number": "940-552-9501",
            "fax_number": "940-552-2075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 HILLCREST DR",
            "address_2": "STE B",
            "city": "VERNON",
            "state": "TX",
            "postal_code": "763843100",
            "telephone_number": "940-552-9501",
            "fax_number": "940-552-2075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE EDDICK CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-01",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A",
        "authorized_official_last_name": "BAYER",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "940-552-9501"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "27260",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2128266",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hillcrest Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hillcrest Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lindsay Rae Streit, F.N.P.
• Stephanie Clark Swalwell, APRN, PMHNP
• Synerg Pelvic Health and Physical Therapy
• Carol Howell Taylor, M.ED.
• Texas Rose Family Clinic PLLC
• The Eddick Corporation
• The Eddick Corporation
• Mary Margaret Thompson, MSN, APRN, FNP-C
• Todd R. Smith
• Katrina Elaine Trejo

• Community/Retail Pharmacy in Vernon, TX
• Providers in Vernon, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.