Organization Active NPI

The Eddick Corporation

  • Long Term Care Pharmacy
  • Vernon, TX
National Provider Identifier
1215564414
Registry record updated Mar 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
THE EDDICK CORPORATION
Practice address
1015 Hillcrest Dr Ste B
Vernon, TX 76384-3165
Phone
(940) 552-9501
Fax
(940) 552-2075
NPI assigned
Mar 26, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2020

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

Authorized official

Name
Adam Bayer, PHARMD
Title
President
Phone
(940) 552-9501

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

1015 Hillcrest Dr Ste B
Vernon, TX 76384-3165

Mailing address

1015 Hillcrest Dr Ste B
Vernon, TX 76384-3165
Phone (940) 552-9501

National Provider Directory

National Provider Directory
Tax ID family
Hillcrest Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1015 Hillcrest Dr
Ste B
Vernon, TX 76384
Phone (940) 552-9501

NPI Registry JSON

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

{
    "created_epoch": "1585180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585180800000",
    "number": "1215564414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 HILLCREST DR STE B",
            "city": "VERNON",
            "state": "TX",
            "postal_code": "763843165",
            "telephone_number": "940-552-9501",
            "fax_number": "940-552-2075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 HILLCREST DR STE B",
            "city": "VERNON",
            "state": "TX",
            "postal_code": "763843165",
            "telephone_number": "940-552-9501",
            "fax_number": "940-552-2075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE EDDICK CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-26",
        "last_updated": "2020-03-26",
        "certification_date": "2020-03-26",
        "status": "A",
        "authorized_official_last_name": "BAYER",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "940-552-9501",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vernon, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2020; 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.