Active NPI
Eagle Pharmacy Hideaway
- Community/Retail Pharmacy
- Lindale, TX
National Provider Identifier
1255927703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- EAGLE PHARMACY HIDEAWAY
- Practice address
- 14077 FM 849
Lindale, TX 75771-5160 - Phone
- (903) 881-5752
- Fax
- (888) 374-1180
- NPI assigned
- Dec 18, 2020
- Last updated
- Jun 13, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. John A Droblyn, PHARMD.
- Title
- President
- Phone
- (903) 881-5610
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
14077 FM 849
Lindale, TX 75771-5160
Mailing address
1404 S Main St
Lindale, TX 75771-6267
Phone (903) 881-5752
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33566 | Other | TX | STATE BOARD OF PHARMACY |
National Provider Directory
National Provider Directory- Tax ID family
- Eagle Pharmacy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Lindale, TX
- NPI 1891326393
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Lindale, TX
- NPI 1447588652
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608249600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1686614400000",
"number": "1255927703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1404 S MAIN ST",
"city": "LINDALE",
"state": "TX",
"postal_code": "757716267",
"telephone_number": "903-881-5752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14077 FM 849",
"city": "LINDALE",
"state": "TX",
"postal_code": "757715160",
"telephone_number": "903-881-5752",
"fax_number": "888-374-1180"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EAGLE PHARMACY HIDEAWAY",
"organizational_subpart": "NO",
"enumeration_date": "2020-12-18",
"last_updated": "2023-06-13",
"certification_date": "2023-06-13",
"status": "A",
"authorized_official_last_name": "DROBLYN",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "903-881-5610",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "PHARMD."
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE BOARD OF PHARMACY",
"identifier": "33566",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lindale, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.