Land Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28795 Issued in TX

Legal business name

LAND PHARMACY LLC

Practice address

501 W 2ND Street
Clarendon, TX 79226

Phone

(806) 874-3554

Fax

(806) 874-9287

NPI assigned

Sep 30, 2013

Organization subpart

No

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

Authorized official

Name

Mark LandNPI 1467444760

Title

President

Phone

(806) 537-3034

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Mike's Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark Alton Land, PHARM.D.

  • Pharmacist
  • Panhandle, TX
  • NPI 1467444760
  NPD Authorized official
• Brandon David Frausto, PHARM.D.

  • Pharmacist
  • Clarendon, TX
  • NPI 1235711854
  NPD (past)

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

{
    "created_epoch": "1380499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465776000000",
    "number": "1184051500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1654",
            "city": "PANHANDLE",
            "state": "TX",
            "postal_code": "790681654",
            "telephone_number": "806-537-3034",
            "fax_number": "806-537-5461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 W 2ND STREET",
            "city": "CLARENDON",
            "state": "TX",
            "postal_code": "79226",
            "telephone_number": "806-874-3554",
            "fax_number": "806-874-9287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAND PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-30",
        "last_updated": "2016-06-13",
        "status": "A",
        "authorized_official_last_name": "LAND",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "806-537-3034"
    },
    "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": "28795",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2142678",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1184051500",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mike's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Donley County Medical Group PA
• Donley County RHC Corporation
• Brandon David Frausto, PHARM.D.
• John Cooper Howard, M.D.
• Hwatch of the TX Panhandle, LLC
• Marvin Gill & Assoc
• Marvin Gill & Associates Inc.
• Michael H Butts
• Michael Morency
• Misty Nobles, PA-C

• Community/Retail Pharmacy in Clarendon, TX
• Providers in Clarendon, 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 Jun 13, 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.