Organization Active NPI

Doc's Drugstore of Eastland Inc

  • Community/Retail Pharmacy
  • Eastland, TX
National Provider Identifier
1215190053
Registry record updated May 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
26207 Issued in TX
Legal business name
DOC'S DRUGSTORE OF EASTLAND INC
Practice address
905 E Main St
Eastland, TX 76448
Phone
(254) 629-1000
Fax
(254) 629-1020
NPI assigned
Jul 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2026

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

Authorized official

Name
Joe RileyNPI 1871591636
Title
Owner/Officer
Phone
(325) 646-9414

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 26207 TX Primary

Addresses

Primary practice location

905 E Main St
Eastland, TX 76448

Mailing address

905 E Main St
Eastland, TX 76448
Phone (254) 629-1000

Other identifiers 1

IdentifierTypeStateIssuer
2116941OtherPK

Other names 1

  • Doc's Drugstore of Eastland Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170531001148 TX Part B Supplier - Mass Immunization (Roster Biller Only) 8224305909 Practice locations: Eastland, TX

National Provider Directory

National Provider Directory

Locations

905 E Main St
Eastland, TX 76448
Phone (254) 629-1000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777593600000",
    "number": "1215190053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 E MAIN ST",
            "city": "EASTLAND",
            "state": "TX",
            "postal_code": "76448",
            "telephone_number": "254-629-1000",
            "fax_number": "254-629-1020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 E MAIN ST",
            "city": "EASTLAND",
            "state": "TX",
            "postal_code": "76448",
            "telephone_number": "254-629-1000",
            "fax_number": "254-629-1020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOC'S DRUGSTORE OF EASTLAND INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-02",
        "last_updated": "2026-05-01",
        "certification_date": "2026-05-01",
        "status": "A",
        "authorized_official_last_name": "RILEY",
        "authorized_official_first_name": "JOE",
        "authorized_official_title_or_position": "OWNER/OFFICER",
        "authorized_official_telephone_number": "325-646-9414"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "26207",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2116941",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Doc's Drugstore of Eastland",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Eastland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2026; 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.