Active NPI
Eagle Pharmacy
- Community/Retail Pharmacy
- Lindale, TX
National Provider Identifier
1295077683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 28649
- 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, 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
- Dr. John Andrew Droblyn, PHARMD.
- Title
- Pharmacist
- Phone
- (903) 376-1881
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20131111000676 | TX | Part B Supplier - Pharmacy | 5890921399 | Practice locations: Lindale, TX |
National Provider Directory
National Provider DirectoryLocations
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.
-
- 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": "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
- Johnathon Andrew Droblyn, PHARMD.
- Michelle Kristine Dunn, D.C.
- Holly Katrina Duplechain, MD
- Dawn Marie Dushane
- Eagle Chiropractic LLC
- Eagle Pharmacy
- East Texas Chiropractic & Wellness Center, PA
- East Texas Eye Care Associates PLLC (The Optical Shop)
- Benedicto Edano, CNIM
- Elerson Therapy Associates LLC
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.