Organization Active NPI

Eagle Pharmacy

  • Community/Retail Pharmacy
  • Lindale, TX
National Provider Identifier
1295077683
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28649 Issued in TX
Legal business name
EAGLE PHARMACY
Practice address
1404 S Main St
Lindale, TX 75771-6267
Phone
(903) 881-5752
Fax
(888) 374-1180
NPI assigned
Mar 23, 2013
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Dr. John Andrew Droblyn, PHARMD.
Title
Pharmacist
Phone
(903) 376-1881

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 28649 TX Primary

Addresses

Primary practice location

1404 S Main St
Lindale, TX 75771-6267

Mailing address

1404 S Main St
Lindale, TX 75771-6267
Phone (903) 881-5752

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131111000676 TX Part B Supplier - Pharmacy 5890921399 Practice locations: Lindale, TX

National Provider Directory

National Provider Directory

Locations

1404 S Main St
Lindale, TX 75771
Phone (903) 881-5752

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

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.

NPI Registry JSON

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

{
    "created_epoch": "1363996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1295077683",
    "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",
            "fax_number": "888-374-1180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1404 S MAIN ST",
            "city": "LINDALE",
            "state": "TX",
            "postal_code": "757716267",
            "telephone_number": "903-881-5752",
            "fax_number": "888-374-1180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-23",
        "last_updated": "2023-03-07",
        "certification_date": "2020-10-20",
        "status": "A",
        "authorized_official_last_name": "DROBLYN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "903-376-1881",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "28649",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.