Active NPI
Doc's Drugstore of Eastland Inc
- Community/Retail Pharmacy
- Eastland, TX
National Provider Identifier
1215190053
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 26207
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joe Riley
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2116941 | Other | PK |
Other names 1
- Doc's Drugstore of Eastland
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170531001148 | TX | Part B Supplier - Mass Immunization (Roster Biller Only) | 8224305909 | Practice locations: Eastland, TX |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- Brownwood, TX
- NPI 1871591636
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
- Cross Timbers Health Clinics, Inc. (AccelHealth)
- Kevin Ray Cunningham, D.O.
- Robert Charles Deluca, D.O.
- Valerie Kai Deluca, D.O.
- Roberto John Denny, FNP, APRN
- Eastland Assisted Living Corporation (The Woodlands Assisted Living)
- Eastland Chiropractic Wellness Center PA
- Eastland Dental PLLC
- Eastland Dialysis Center, LLC (Eastland Dialysis Center)
- Eastland Drug Company Incorporated (Eastland Drug Co Inc)
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.