Organization Active NPI

Caprock Discount Drug Inc

  • Community/Retail Pharmacy
  • Lubbock, TX
National Provider Identifier
1104804046
Registry record updated Sep 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5622 Issued in TX
Legal business name
CAPROCK DISCOUNT DRUG INC
Practice address
2625 50TH St
Lubbock, TX 79413-4529
Phone
(806) 792-6122
Fax
(806) 792-2789
NPI assigned
Dec 31, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2013

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

Authorized official

Name
Janet Huntley, RPH
Title
Pic
Phone
(806) 792-2715

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 5622 TX Primary

Addresses

Primary practice location

2625 50TH St
Lubbock, TX 79413-4529

Mailing address

2625 50TH St
Lubbock, TX 79413-4529
Phone (806) 792-6122

Other identifiers 2

IdentifierTypeStateIssuer
2098220OtherPK
141878MedicaidTX

Other names 1

  • CAPROCK DISCOUNT DRUG Doing business as

National Provider Directory

National Provider Directory

Locations

2625 50th St
Lubbock, TX 79413
Phone (806) 792-2713

NPI Registry JSON

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

{
    "created_epoch": "1135987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378771200000",
    "number": "1104804046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 50TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794134529",
            "telephone_number": "806-792-6122",
            "fax_number": "806-792-2789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 50TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794134529",
            "telephone_number": "806-792-6122",
            "fax_number": "806-792-2789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPROCK DISCOUNT DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-31",
        "last_updated": "2013-09-10",
        "status": "A",
        "authorized_official_last_name": "HUNTLEY",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "806-792-2715",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "5622",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2098220",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "141878",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CAPROCK DISCOUNT DRUG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2013; 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.