Active NPI
US Drug Mart Inc
- Community/Retail Pharmacy
- Fabens, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 31573
- Legal business name
- US DRUG MART INC
- Practice address
- 1420 Fabens Rd Ste B
Fabens, TX 79838 - Phone
- (915) 764-2739
- Fax
- (915) 764-7639
- NPI assigned
- Oct 17, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David Paschal
- Title
- Vice President
- Phone
- (972) 775-1180
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 31573 | TX | Primary |
Addresses
Primary practice location
1420 Fabens Rd Ste B
Fabens, TX 79838
Mailing address
PO Box 1233
Fabens, TX 79838-1233
Phone (915) 764-2739
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 149710 | Medicaid | TX | |
| 2172043 | Other | PK |
Other names 1
- Fabens Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180403001300 | TX | Part B Supplier - Mass Immunization (Roster Biller Only) | 6709858558 | Practice locations: Fabens, TX |
Other NPIs with the same Medicare PAC ID 3
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2148548 | Fabens Pharmacy | Certificate of waiver | May 13, 2028 |
National Provider Directory
National Provider Directory- Tax ID family
- US Drug Mart Inc
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Wichita Falls, TX
- NPI 1033894894
-
- Community/Retail Pharmacy
- Ferris, TX
- NPI 1770697765
-
- Community/Retail Pharmacy
- Alvarado, TX
- NPI 1134555485
-
- Long Term Care Pharmacy
- Midlothian, TX
- NPI 1215411640
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Fabens, TX
- NPI 1255543724
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508198400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1680220800000",
"number": "1194236182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1233",
"city": "FABENS",
"state": "TX",
"postal_code": "798381233",
"telephone_number": "915-764-2739",
"fax_number": "915-764-3661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1420 FABENS RD STE B",
"city": "FABENS",
"state": "TX",
"postal_code": "79838",
"telephone_number": "915-764-2739",
"fax_number": "915-764-7639"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "US DRUG MART INC",
"organizational_subpart": "NO",
"enumeration_date": "2017-10-17",
"last_updated": "2023-03-31",
"certification_date": "2023-03-31",
"status": "A",
"authorized_official_last_name": "PASCHAL",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "972-775-1180"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "TX",
"license": "31573",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "149710",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2172043",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Fabens Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fabens, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.