Active NPI
Bendy B Poole
- Pharmacy
- Victoria, TX
National Provider Identifier
1093833881
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 16589
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 143357 | Medicaid | TX |
Other names 1
- Central Drug
National Provider Directory
National Provider DirectoryLocations
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.