Organization Active NPI

Pilot Point LLC

  • Community/Retail Pharmacy
  • Lantana, TX
National Provider Identifier
1063955730
Registry record updated Jun 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
31051 Issued in TX
Legal business name
PILOT POINT LLC
Practice address
101 Old Town Blvd S
Suite 102
Lantana, TX 76226-3968
Phone
(940) 464-4500
Fax
(940) 464-4533
NPI assigned
Nov 29, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2024

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

Authorized official

Name
Vicki WoelfelNPI 1811201676
Title
Pharmacist
Phone
(214) 529-5604

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 31051 TX Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

101 Old Town Blvd S
Suite 102
Lantana, TX 76226-3968

Mailing address

101 Old Town Blvd S
Suite 102
Lantana, TX 76226-3968
Phone (940) 464-4500

Other identifiers 2

IdentifierTypeStateIssuer
149547MedicaidTX
2165725OtherPK

Other names 1

  • S & J Argyle Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190122001427 TX Part B Supplier - Mass Immunization (Roster Biller Only) 5991042574 Practice locations: Lantana, TX

National Provider Directory

National Provider Directory

Locations

101 Old Town Blvd S
#S
Lantana, TX 76226
Phone (940) 464-4500

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1480377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719446400000",
    "number": "1063955730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 OLD TOWN BLVD S",
            "address_2": "SUITE 102",
            "city": "LANTANA",
            "state": "TX",
            "postal_code": "762263968",
            "telephone_number": "940-464-4500",
            "fax_number": "940-464-4533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 OLD TOWN BLVD S",
            "address_2": "SUITE 102",
            "city": "LANTANA",
            "state": "TX",
            "postal_code": "762263968",
            "telephone_number": "940-464-4500",
            "fax_number": "940-464-4533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PILOT POINT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-29",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A",
        "authorized_official_last_name": "WOELFEL",
        "authorized_official_first_name": "VICKI",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "214-529-5604"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "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": "31051",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149547",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2165725",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "S & J Argyle Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lantana, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.