Active NPI
Nolen Pharmacy Inc
- Community/Retail Pharmacy
- Fort Stockton, TX
National Provider Identifier
1215020664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 3574
- Legal business name
- NOLEN PHARMACY INC
- Practice address
- 700 W Dickinson Blvd
Fort Stockton, TX 79735-4230 - Phone
- (432) 336-2201
- Fax
- (432) 336-6646
- NPI assigned
- Sep 30, 2006
- 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
- Valerie Rose
- Title
- Store Manager
- Phone
- (432) 336-2201
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 3574 | TX | Primary |
Addresses
Primary practice location
700 W Dickinson Blvd
Fort Stockton, TX 79735-4230
Mailing address
PO Box 880
Fort Stockton, TX 79735-0880
Phone (432) 336-2201
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2096326 | Other | PK |
Other names 1
- NOLEN PHARMACY
National Provider Directory
National Provider DirectoryLocations
700 W Dickinson Blvd
Fort Stockton, TX 79735
Phone (432) 336-2201
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159574400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1396310400000",
"number": "1215020664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 880",
"city": "FORT STOCKTON",
"state": "TX",
"postal_code": "797350880",
"telephone_number": "432-336-2201",
"fax_number": "432-336-6646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 W DICKINSON BLVD",
"city": "FORT STOCKTON",
"state": "TX",
"postal_code": "797354230",
"telephone_number": "432-336-2201",
"fax_number": "432-336-6646"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NOLEN PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-30",
"last_updated": "2014-04-01",
"status": "A",
"authorized_official_last_name": "ROSE",
"authorized_official_first_name": "VALERIE",
"authorized_official_title_or_position": "STORE MANAGER",
"authorized_official_telephone_number": "432-336-2201"
},
"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": "3574",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2096326",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "NOLEN PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fort Stockton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.