Organization Active NPI

Greenbriar Pharmacy LP

Doing business as Greenbriar Pharmacy

  • Community/Retail Pharmacy
  • Ponder, TX
National Provider Identifier
1114343480
Registry record updated Mar 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
GREENBRIAR PHARMACY LP
Doing business as
Greenbriar Pharmacy
Practice address
250 FM 2449
Ponder, TX 76259
Phone
(940) 479-0111
Fax
(940) 479-0711
NPI assigned
Mar 11, 2014
Last updated
Mar 11, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2014

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

Authorized official

Name
Mr. Robert Francis Dowden, RPHNPI 1659797934
Title
Owner/Pharmacist
Phone
(940) 479-0111

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 1

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

Addresses

Primary practice location

250 FM 2449
Ponder, TX 76259

Mailing address

250 FM 2449
Ponder, TX 76259
Phone (940) 479-0111

Other names 1

  • Greenbriar Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210519001767 TX Part B Supplier - Pharmacy 9537568803 Practice locations: Ponder, TX

National Provider Directory

National Provider Directory

Locations

250 E FM 2449
Ponder, TX 76259
Phone (940) 479-0111

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1394496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394496000000",
    "number": "1114343480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 FM 2449",
            "city": "PONDER",
            "state": "TX",
            "postal_code": "76259",
            "telephone_number": "940-479-0111",
            "fax_number": "940-479-0711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 FM 2449",
            "city": "PONDER",
            "state": "TX",
            "postal_code": "76259",
            "telephone_number": "940-479-0111",
            "fax_number": "940-479-0711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENBRIAR PHARMACY LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-11",
        "last_updated": "2014-03-11",
        "status": "A",
        "authorized_official_last_name": "DOWDEN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "FRANCIS",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "940-479-0111",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greenbriar Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ponder, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2014; 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.