Active NPI
Overton Pharmacy LLC
Doing business as Overton Pharmacy
- Community/Retail Pharmacy
- Overton, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 26857
- Legal business name
- OVERTON PHARMACY LLC
- Doing business as
- Overton Pharmacy
- Practice address
- 104 W Henderson St
Overton, TX 75684-1613 - Phone
- (903) 834-0154
- Fax
- (903) 834-0156
- NPI assigned
- Mar 2, 2010
- Last updated
- Jun 6, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Abbi Splawn, PHARMD
- Title
- Owner
- Phone
- (903) 834-0154
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NU | ||
| Community/Retail Pharmacy | 3336C0003X | 26857 | TX | Primary |
Addresses
Primary practice location
104 W Henderson St
Overton, TX 75684-1613
Mailing address
104 W Henderson St
Overton, TX 75684-1613
Phone (903) 834-0154
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2124308 | Other | PK |
Other names 1
- Overton Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140116000578 | TX | DME Supplier - Pharmacy | 0547498776 | Practice locations: Overton, TX |
| O20140911001679 | TX | Part B Supplier - Mass Immunization (Roster Biller Only) | 0547498776 | Practice locations: Overton, TX |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Overton Pharmacy LLC | Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Canes and/or Crutches|Walkers|Orthoses: Off-The-Shelf|Ostomy Supplies|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
104 W Henderson St
Overton, TX 75684
Phone (903) 834-0154
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Overton, TX
- NPI 1144622366
-
- Pharmacist
- Overton, TX
- NPI 1962081265
-
- Pharmacist
- Overton, TX
- NPI 1144552357
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267488000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1559779200000",
"number": "1013230234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 W HENDERSON ST",
"city": "OVERTON",
"state": "TX",
"postal_code": "756841613",
"telephone_number": "903-834-0154",
"fax_number": "903-834-0156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 W HENDERSON ST",
"city": "OVERTON",
"state": "TX",
"postal_code": "756841613",
"telephone_number": "903-834-0154",
"fax_number": "903-834-0156"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OVERTON PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-03-02",
"last_updated": "2019-06-06",
"status": "A",
"authorized_official_last_name": "SPLAWN",
"authorized_official_first_name": "ABBI",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "903-834-0154",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "TX",
"license": "26857",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2124308",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Overton Pharmacy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Overton Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Overton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.