Docs Drugstore of Early Inc
Organization Active NPI Community/Retail Pharmacy · Early, TX
NPI 1093990830 · NPPES record last updated Nov 10, 2016
Key facts
- NPI
- 1093990830
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 25914 (TX)
- Legal business name
- DOCS DRUGSTORE OF EARLY INC
- Practice address
- 1210 C C Woodson Rd
Early, TX 76802-8204 - Phone
- (325) 646-2500
- Fax
- (325) 641-0357
- NPI assigned
- Dec 28, 2007
- Organization subpart
- No
Authorized official
- Name
- Joe Riley, RPH
- Title
- Owner
- Phone
- (325) 646-1270
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150528002091 | TX | Part B Supplier - Pharmacy | 2466772660 | Practice locations: Early, TX |
National Provider Directory
Locations
1210 C C Woodson Rd
Early, TX 76802
Phone (325) 646-2500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 25914 | TX | Yes |
Addresses
Primary practice location
1210 C C Woodson Rd
Early, TX 76802-8204
Mailing address
1210 C C Woodson Rd
Early, TX 76802-8204
Phone (325) 646-2500
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2101149 | Other | PK |
Other names
- DOCS DRUGSTORE OF EARLY
Other providers in Early, TX
- Stanley Wayne Cavett
- Trinity Chaney
- Children'S Hope Residential Treatment Services, Inc.
- CMS Health Care, Inc
- Consolidated Opticals of Texas
- Early Isd
- Michael Shannon Ervin
- Dawna Fulton
- Amanda Gentry
- Healing in Grace, PLLC
All providers in Early, TX · Community/Retail Pharmacy in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 10, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.