NPIMap

Organization Active NPI

Longhorn Drug Company

  • Durable Medical Equipment & Medical Supplies
  • Kilgore, TX
National Provider Identifier
1073648028
Registry record updated Feb 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
D3473 Issued in TX
Legal business name
LONGHORN DRUG COMPANY
Practice address
1711 S Henderson Blvd
#100
Kilgore, TX 75662-3563
Phone
(903) 983-5313
Fax
(903) 984-0923
NPI assigned
Feb 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2008

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

Authorized official

Name
Patty Long
Title
VP
Phone
(386) 698-3737

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X D3473 TX Primary

Addresses

Primary practice location

1711 S Henderson Blvd
#100
Kilgore, TX 75662-3563

Mailing address

1711 S Henderson Blvd
#100
Kilgore, TX 75662-3563
Phone (903) 983-5313

National Provider Directory

National Provider Directory
Tax ID family
Longhorn Drug Company2 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.

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202169600000",
    "number": "1073648028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 S HENDERSON BLVD",
            "address_2": "#100",
            "city": "KILGORE",
            "state": "TX",
            "postal_code": "756623563",
            "telephone_number": "903-983-5313",
            "fax_number": "903-984-0923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 S HENDERSON BLVD",
            "address_2": "#100",
            "city": "KILGORE",
            "state": "TX",
            "postal_code": "756623563",
            "telephone_number": "903-983-5313",
            "fax_number": "903-984-0923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONGHORN DRUG COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2008-02-05",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "PATTY",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "386-698-3737"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "D3473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kilgore, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.