NPIMap

Organization Active NPI

Sears Methodist Center, Inc

Doing business as Sears Methodist Pharmacy

  • Pharmacy
  • Abilene, TX
National Provider Identifier
1255315446
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
15258 Issued in TX
Legal business name
SEARS METHODIST CENTER, INC
Doing business as
Sears Methodist Pharmacy
Practice address
3202 S Willis St
Abilene, TX 79605-6650
Phone
(325) 692-6145
NPI assigned
Dec 1, 2005
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. Alva L West, CPA
Title
Vice President/Asst. Cfo
Phone
(325) 691-5519

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 15258 TX Primary

Addresses

Primary practice location

3202 S Willis St
Abilene, TX 79605-6650

Mailing address

1 Village Dr
Suite 400
Abilene, TX 79606-8231
Phone (325) 691-5519

Other identifiers 1

IdentifierTypeStateIssuer
350020MedicaidTX

Other names 1

  • Sears Methodist Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sears Methodist Center Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255315446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 VILLAGE DR",
            "address_2": "SUITE 400",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796068231",
            "telephone_number": "325-691-5519",
            "fax_number": "325-698-4582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3202 S WILLIS ST",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796056650",
            "telephone_number": "325-692-6145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEARS METHODIST CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WEST",
        "authorized_official_first_name": "ALVA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "VICE PRESIDENT/ASST. CFO",
        "authorized_official_telephone_number": "325-691-5519",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "TX",
            "license": "15258",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "350020",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sears Methodist Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 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.