Organization Active NPI

Red Oak Drug Inc

  • Community/Retail Pharmacy
  • Waxahachie, TX
National Provider Identifier
1285748277
Registry record updated Sep 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
22444 Issued in TX
Legal business name
RED OAK DRUG INC
Doing business as
THE PRESCRIPTION SHOP
Practice address
120 S Grand Ave
Ste 1
Waxahachie, TX 75165-2267
Phone
(972) 938-2642
Fax
(972) 937-5681
NPI assigned
Aug 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2022

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

Authorized official

Name
Dr. April Suzanne Powell, PHARM DNPI 1891023727
Title
Owner/Pharmacist in Charge
Phone
(972) 938-2642

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 22444 TX Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

120 S Grand Ave
Ste 1
Waxahachie, TX 75165-2267

Mailing address

120 S Grand Ave
Ste 1
Waxahachie, TX 75165-2267
Phone (972) 938-2642

Other identifiers 2

IdentifierTypeStateIssuer
2091167OtherPK
145265MedicaidTX

Other names 1

  • THE PRESCRIPTION SHOP Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181029000178 TX Part B Supplier - Pharmacy 7618096207 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Red Oak, TX; Waxahachie, TX

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2180058Red Oak Drug, Inc Dba the Prescription Shop120 S Grand Ave, Suite 1, Waxahachie, TX 75165Certificate of waiverMar 4, 2028

National Provider Directory

National Provider Directory

Locations

120 S Grand Ave
Ste 1
Waxahachie, TX 75165
Phone (972) 938-2642

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663804800000",
    "number": "1285748277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 S GRAND AVE",
            "address_2": "STE 1",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751652267",
            "telephone_number": "972-938-2642",
            "fax_number": "972-937-5681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 S GRAND AVE",
            "address_2": "STE 1",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751652267",
            "telephone_number": "972-938-2642",
            "fax_number": "972-937-5681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED OAK DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "APRIL",
        "authorized_official_middle_name": "SUZANNE",
        "authorized_official_title_or_position": "OWNER/PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "972-938-2642",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "22444",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2091167",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145265",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE PRESCRIPTION SHOP",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "THE PRESCRIPTION SHOP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waxahachie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.