Dura Med, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0083377 Issued in TX

Legal business name

DURA MED, INC.

Doing business as

Corner Drug Store and Medical Equipment

Practice address

600 Bessemer Ave
Llano, TX 78643-1608

Phone

(325) 247-4155

Fax

(325) 247-5554

NPI assigned

Dec 29, 2006

Last updated

Feb 9, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cresta Tate

Title

Manager

Phone

(512) 756-8550

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Corner Drug Store and Medical Equipment Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Dura Med, Inc.

  dba Lakes Area Pharmacy & Medical Equipment

  • Oxygen Equipment & Supplies (DME)
  • Llano, TX
  • NPI 1063578094

  4385605666

  Same PAC ID

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Duramed

  dba Corner Drug

  • Community/Retail Pharmacy
  • Llano, TX
  • NPI 1578576096

  O20041028000676

  Same enrollment
• Shri Gokul Drugs LLC

  dba Lakes Area Pharmacy

  • Pharmacy
  • Burnet, TX
  • NPI 1932119674

  O20041028000676

  Same enrollment

Tax ID family

Duramed Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

• Dura Med, Inc.

  dba Lakes Area Pharmacy & Medical Equipment

  • Oxygen Equipment & Supplies (DME)
  • Llano, TX
  • NPI 1063578094
  NPD tax ID
• Dura Med, Inc.

  dba Corner Drug LTC

  • Long Term Care Pharmacy
  • Llano, TX
  • NPI 1326645086
  NPD tax ID
• Dura Med, Inc.

  dba Bowen's Pharmacy and Medical Equipment

  • Durable Medical Equipment & Medical Supplies
  • Kingsland, TX
  • NPI 1760517791
  NPD tax ID
• Duramed

  dba Corner Drug

  • Community/Retail Pharmacy
  • Llano, TX
  • NPI 1578576096
  NPD tax ID
• Duramed Inc

  dba Bowens Health Mart Pharmacy

  • Community/Retail Pharmacy
  • Kingsland, TX
  • NPI 1891863031
  NPD tax ID

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454976000000",
    "number": "1104982560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 BESSEMER AVE",
            "city": "LLANO",
            "state": "TX",
            "postal_code": "786431608",
            "telephone_number": "325-247-4155",
            "fax_number": "325-247-5554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 BESSEMER AVE",
            "city": "LLANO",
            "state": "TX",
            "postal_code": "786431608",
            "telephone_number": "325-247-4155",
            "fax_number": "325-247-5554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DURA MED, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2016-02-09",
        "status": "A",
        "authorized_official_last_name": "TATE",
        "authorized_official_first_name": "CRESTA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "512-756-8550"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0083377",
            "primary": true
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "TX",
            "license": "0083377",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0916991-01",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0916991-03",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Corner Drug Store and Medical Equipment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Clear Creek Dermatology
• Howell Anson Cone, M.D.
• Coryell County Memorial Hospital Authority (Hill Country Healthcare Center)
• Dignity Healthcare II LLC (Llano Nursing & Rehabilitation Center)
• Dura Med, Inc. (Lakes Area Pharmacy & Medical Equipment)
• Dura Med, Inc. (Corner Drug LTC)
• Duramed (Corner Drug)
• Educare Community Living Limited Partnership
• Jeri Lynnette Epley, LVN
• Scott Esse, LPC

• Durable Medical Equipment & Medical Supplies in Llano, TX
• Providers in Llano, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.