Organization Active NPI

Rolling Plains Pharmacy

  • Community/Retail Pharmacy
  • Sweetwater, TX
National Provider Identifier
1174635080
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
ROLLING PLAINS PHARMACY
Practice address
1410 Lamar St
Sweetwater, TX 79556-7124
Phone
(325) 235-8684
Fax
(325) 235-4852
NPI assigned
Aug 31, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Carolyn Kay Staton, C PH T
Title
Owner President
Phone
(325) 235-8684

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 19539 TX
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

1410 Lamar St
Sweetwater, TX 79556-7124

Mailing address

1410 Lamar St
Sweetwater, TX 79556-7124

Other identifiers 2

IdentifierTypeStateIssuer
144892MedicaidTX
4544385OtherOTHER ID NUMBER-COMMERCIAL NUMBER

National Provider Directory

National Provider Directory
Tax ID family
Rolling Plains Medical Supply2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1174635080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 LAMAR ST",
            "city": "SWEETWATER",
            "state": "TX",
            "postal_code": "795567124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 LAMAR ST",
            "city": "SWEETWATER",
            "state": "TX",
            "postal_code": "795567124",
            "telephone_number": "325-235-8684",
            "fax_number": "325-235-4852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROLLING PLAINS PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "STATON",
        "authorized_official_first_name": "CAROLYN KAY",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "325-235-8684",
        "authorized_official_credential": "C PH T"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "TX",
            "license": "19539",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "144892",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "4544385",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sweetwater, TX

Sources for this page

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