Organization Active NPI

Nolen Pharmacy Inc

  • Community/Retail Pharmacy
  • Fort Stockton, TX
National Provider Identifier
1215020664
Registry record updated Apr 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
3574 Issued in TX
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

Updated by the provider on Apr 1, 2014

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2096326OtherPK

Other names 1

  • NOLEN PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.