Organization Active NPI

Dunn Pharmacy Inc.

  • Pharmacy
  • Stockdale, TX
National Provider Identifier
1235138256
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
12745 Issued in TX
Legal business name
DUNN PHARMACY INC.
Practice address
400 West Main St
Stockdale, TX 78160-0609
Phone
(830) 996-3421
NPI assigned
Jul 20, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Peter Creighton Dunn, RPH
Title
President
Phone
(830) 996-3217

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 12745 TX Primary

Addresses

Primary practice location

400 West Main St
Stockdale, TX 78160-0609

Mailing address

PO Box 609
Stockdale, TX 78160-0609
Phone (830) 996-3421

Other identifiers 1

IdentifierTypeStateIssuer
143232MedicaidTX

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235138256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 609",
            "city": "STOCKDALE",
            "state": "TX",
            "postal_code": "781600609",
            "telephone_number": "830-996-3421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 WEST MAIN ST",
            "city": "STOCKDALE",
            "state": "TX",
            "postal_code": "781600609",
            "telephone_number": "830-996-3421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUNN PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DUNN",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "CREIGHTON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "830-996-3217",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "TX",
            "license": "12745",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "143232",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockdale, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.