Prescription Shop

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

04530 Issued in TX

Legal business name

PRESCRIPTION SHOP

Practice address

143 Craig Street
Kenedy, TX 78119

Phone

(830) 583-9652

Fax

(830) 583-3923

NPI assigned

Oct 2, 2006

Last updated

Mar 11, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Nicholas Frank Millington, RPH

Title

Pharmacist/Owner

Phone

(830) 583-9652

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236729600000",
    "number": "1265525950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 CRAIG STREET",
            "city": "KENEDY",
            "state": "TX",
            "postal_code": "78119",
            "telephone_number": "830-583-9652",
            "fax_number": "830-583-3923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 CRAIG STREET",
            "city": "KENEDY",
            "state": "TX",
            "postal_code": "78119",
            "telephone_number": "830-583-9652",
            "fax_number": "830-583-3923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESCRIPTION SHOP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2009-03-11",
        "status": "A",
        "authorized_official_last_name": "MILLINGTON",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "FRANK",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "830-583-9652",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "04530",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "04530",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "141618",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Community/Retail Pharmacy in Kenedy, TX
• Providers in Kenedy, 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 Mar 11, 2009; 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.