Epoch Pharmacy Solutions II LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

27709 Issued in TX

Legal business name

EPOCH PHARMACY SOLUTIONS II LLC

Doing business as

Medicine Man Pharmacy-Port Lavaca

Practice address

1202 N Virginia St
Port Lavaca, TX 77979-2507

Phone

(361) 482-0345

Fax

(361) 482-0348

NPI assigned

Nov 1, 2011

Last updated

Feb 16, 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

Bruce Rogers

Title

Owner

Phone

(361) 894-6430

Specialties & licenses 2

Addresses

Other names 1

• MEDICINE MAN PHARMACY-PORT LAVACA Doing business as

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

{
    "created_epoch": "1320105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455580800000",
    "number": "1154607331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3670",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779033670",
            "telephone_number": "361-894-6430",
            "fax_number": "361-894-6431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 N VIRGINIA ST",
            "city": "PORT LAVACA",
            "state": "TX",
            "postal_code": "779792507",
            "telephone_number": "361-482-0345",
            "fax_number": "361-482-0348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPOCH PHARMACY SOLUTIONS II LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-01",
        "last_updated": "2016-02-16",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "361-894-6430"
    },
    "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": "27709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDICINE MAN PHARMACY-PORT LAVACA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Raymond P Dickey, OD
• Connor Dieringer, DPT
• Discovery Medical Network Port Lavaca LLC
• Angela Marie-Garcia Dobbins, PA-C
• Kirsten Michelle Edwards, PHARMACY TECHNICIAN
• Ess of Port Lavaca LLC
• Leigh Ann Falcon, M.D.
• Gregorio Jose Robles Fernandez
• Finer Path Counseling
• Jerry Lee Followwill, M.D.

• Community/Retail Pharmacy in Port Lavaca, TX
• Providers in Port Lavaca, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2016; 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.