Fredericksburg Drug Co

Primary specialty

PharmacistTaxonomy code 183500000X

License

00546 Issued in TX

Legal business name

FREDERICKSBURG DRUG CO

Practice address

205 W Windcrest
Suite 160
Fredericksburg, TX 78624

Phone

(830) 997-2163

Fax

(830) 997-6276

NPI assigned

Aug 4, 2006

Last updated

Aug 9, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Richard W Terry

Title

Pharmacy Manager/Owner

Phone

(830) 997-2163

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376006400000",
    "number": "1225046105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 W WINDCREST",
            "address_2": "SUITE 160",
            "city": "FREDERICKSBURG",
            "state": "TX",
            "postal_code": "78624",
            "telephone_number": "830-997-2163",
            "fax_number": "830-997-6276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 W WINDCREST",
            "address_2": "SUITE 160",
            "city": "FREDERICKSBURG",
            "state": "TX",
            "postal_code": "78624",
            "telephone_number": "830-997-2163",
            "fax_number": "830-997-6276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDERICKSBURG DRUG CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2013-08-09",
        "status": "A",
        "authorized_official_last_name": "TERRY",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PHARMACY MANAGER/OWNER",
        "authorized_official_telephone_number": "830-997-2163",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "00546",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4505953",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pharmacist in Fredericksburg, TX
• Providers in Fredericksburg, TX by specialty
• Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2013; 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.