Aledo Medicine Store Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

23774 Issued in TX

Legal business name

ALEDO MEDICINE STORE INC

Practice address

621 North F M 1187
Aledo, TX 76008-4206

Phone

(817) 441-2702

Fax

(817) 441-2708

NPI assigned

Mar 6, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Preston Hall, PHARMD

Title

President

Phone

(817) 441-2702

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409875200000",
    "number": "1245360700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1900",
            "city": "ALEDO",
            "state": "TX",
            "postal_code": "760081900",
            "telephone_number": "817-441-2702",
            "fax_number": "817-441-2708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 NORTH F M 1187",
            "city": "ALEDO",
            "state": "TX",
            "postal_code": "760084206",
            "telephone_number": "817-441-2702",
            "fax_number": "817-441-2708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEDO MEDICINE STORE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2014-09-05",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "PRESTON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-441-2702",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "23774",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "TX",
            "license": "23774",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145493",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aledo Isd
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• Sandra S Anderson, LPC
• Angela C Stickels PC
• Adrienne Archidiacono, D.M.D.
• Archstone Dental - Aledo PLLC

• Community/Retail Pharmacy in Aledo, TX
• Providers in Aledo, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2014; 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.