Cub Drug, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

15792 Issued in TX

Legal business name

CUB DRUG, INC.

Practice address

116 E Main St
Olney, TX 76374-1922

Phone

(940) 564-5551

Fax

(940) 564-2226

NPI assigned

Nov 7, 2006

Last updated

Mar 7, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Donald Ray Mathews, RPH

Title

Owner

Phone

(940) 564-5551

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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.

• Murray Gentry, RPH

  • Pharmacist
  • Olney, TX
  • NPI 1962067660
  NPD (past)
• Randal Edward Whitmire, PHARMD

  • Pharmacist
  • Olney, TX
  • NPI 1730744962
  NPD (past)

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1083783526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 E MAIN ST",
            "city": "OLNEY",
            "state": "TX",
            "postal_code": "763741922",
            "telephone_number": "940-564-5551",
            "fax_number": "940-564-2226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 E MAIN ST",
            "city": "OLNEY",
            "state": "TX",
            "postal_code": "763741922",
            "telephone_number": "940-564-5551",
            "fax_number": "940-564-2226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUB DRUG, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "MATHEWS",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "940-564-5551",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "15792",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "144031",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Betsy Lee Cook, OTR
• Crystal Gail Cook, LCDC
• Shelby Rhea Correale, M.S., CCC-SLP
• County of Throckmorton (Olney Healthcare Center)
• Rachael Kate Creel, NP-C
• Carol Lynn Davidson, APN
• Brandie Daws, FNP-C
• Tamara Dawn Delacruz
• Irene Downing, PTA
• Shanna Lynn Estridge, LVN

• Community/Retail Pharmacy in Olney, TX
• Providers in Olney, 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 Mar 7, 2023; 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.