Organization Active NPI

Mister Meds LLC

  • Community/Retail Pharmacy
  • Abilene, TX
National Provider Identifier
1245030519
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
MISTER MEDS LLC
Practice address
141 Clyde St
Abilene, TX 79605-1751
Phone
(866) 676-3371
Fax
(866) 611-9114
NPI assigned
Mar 17, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Authorized official

Name
Mario Tabraue
Title
Manager
Phone
(786) 295-1084

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

141 Clyde St
Abilene, TX 79605-1751

Mailing address

141 Clyde St
Abilene, TX 79605-1751
Phone (866) 676-3371

Other identifiers 1

IdentifierTypeStateIssuer
35657OtherTXTEXAS STATE BOARD OF PHARMACY

National Provider Directory

National Provider Directory

Locations

141 Clyde St
Abilene, TX 79605
Phone (866) 676-3371

NPI Registry JSON

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

{
    "created_epoch": "1742169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742169600000",
    "number": "1245030519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 CLYDE ST",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796051751",
            "telephone_number": "866-676-3371",
            "fax_number": "866-611-9114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 CLYDE ST",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796051751",
            "telephone_number": "866-676-3371",
            "fax_number": "866-611-9114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISTER MEDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-17",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A",
        "authorized_official_last_name": "TABRAUE",
        "authorized_official_first_name": "MARIO",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "786-295-1084"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS STATE BOARD OF PHARMACY",
            "identifier": "35657",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; 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.