Organization Active NPI

Bendy B Poole

  • Pharmacy
  • Victoria, TX
National Provider Identifier
1093833881
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
16589 Issued in TX
Legal business name
BENDY B POOLE
Doing business as
Central Drug
Practice address
1214 E Mockingbird LN
Victoria, TX 77904-2141
Phone
(361) 575-4713
Fax
(361) 573-9880
NPI assigned
Mar 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Authorized official

Name
Mr. Bendy B Poole, RPH
Title
Pharmacist-Owner
Phone
(361) 575-4713

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 16589 TX Primary

Addresses

Primary practice location

1214 E Mockingbird LN
Victoria, TX 77904-2141

Mailing address

1214 E Mockingbird LN
Victoria, TX 77904-2141
Phone (361) 575-4713

Other identifiers 1

IdentifierTypeStateIssuer
143357MedicaidTX

Other names 1

  • Central Drug Doing business as

National Provider Directory

National Provider Directory

Locations

1214 E Mockingbird Ln
Victoria, TX 77904
Phone (361) 575-4713

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1093833881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1214 E MOCKINGBIRD LN",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779042141",
            "telephone_number": "361-575-4713",
            "fax_number": "361-573-9880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1214 E MOCKINGBIRD LN",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779042141",
            "telephone_number": "361-575-4713",
            "fax_number": "361-573-9880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENDY B POOLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "POOLE",
        "authorized_official_first_name": "BENDY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PHARMACIST-OWNER",
        "authorized_official_telephone_number": "361-575-4713",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "TX",
            "license": "16589",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "143357",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Victoria, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.