Charles Nedock, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

62123 Issued in TX

Practice address

9014 TX 16
Poteet, TX 78065-4944

Phone

(830) 276-0299

Fax

(830) 276-2450

NPI assigned

Oct 21, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)
• Walgreen Co

  • Pharmacy
  • San Marcos, TX
  • NPI 1689689622
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Fayetteville, NC
  • NPI 1669601068
  NPD (past)

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

{
    "created_epoch": "1319155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716508800000",
    "number": "1174809123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "639 E HOPKINS ST",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786667055",
            "telephone_number": "512-396-1335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9014 TX 16",
            "city": "POTEET",
            "state": "TX",
            "postal_code": "780654944",
            "telephone_number": "830-276-0299",
            "fax_number": "830-276-2450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEDOCK",
        "first_name": "CHARLES",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-21",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "22145",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "62123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lighthouse Home Care, Inc.
• Benny Joe Lopez
• Mario Perez DO PA
• Jolene Tai McBee
• Jeremy Allen Means, NP
• NPS Health LLC
• Oak Creek Estate Alf
• Oak Creek Personal Care Home
• Angela Pena
• Elizabeth Robles Pena, LVN

• Pharmacist in Poteet, TX
• Providers in Poteet, TX by specialty
• Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2024; 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.