Organization Active NPI

Gary King Pharmacy Inc

  • Community/Retail Pharmacy
  • Amarillo, TX
National Provider Identifier
1104823582
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
4755 Issued in TX
Legal business name
GARY KING PHARMACY INC
Practice address
1600 Coulter Dr
Ste 307
Amarillo, TX 79106-1718
Phone
(806) 358-4576
Fax
(806) 358-4323
NPI assigned
Jun 30, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

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

Authorized official

Name
Paul Priebe, RPHNPI 1487251484
Title
President
Phone
(806) 358-4576

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 4755 TX Primary

Addresses

Primary practice location

1600 Coulter Dr
Ste 307
Amarillo, TX 79106-1718

Mailing address

1600 Coulter Dr
Ste 307
Amarillo, TX 79106-1718
Phone (806) 358-4576

Other identifiers 5

IdentifierTypeStateIssuer
2093286OtherPK
111369801MedicaidTX
111369803MedicaidTX
111369802MedicaidTX
013676401MedicaidTX

Other names 1

  • KINGS COMPOUNDING PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

1600 S Coulter St
Ste 307
Amarillo, TX 79106
Phone (806) 358-4576

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749513600000",
    "number": "1104823582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 COULTER DR",
            "address_2": "STE 307",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061718",
            "telephone_number": "806-358-4576",
            "fax_number": "806-358-4323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 COULTER DR",
            "address_2": "STE 307",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061718",
            "telephone_number": "806-358-4576",
            "fax_number": "806-358-4323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY KING PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-30",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A",
        "authorized_official_last_name": "PRIEBE",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "806-358-4576",
        "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": "4755",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2093286",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111369801",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111369803",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111369802",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "013676401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KINGS COMPOUNDING PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Amarillo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2025; 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.