Eagle Pharmacy
Organization Active NPI Community/Retail Pharmacy · Lindale, TX
NPI 1295077683 · NPPES record last updated Mar 7, 2023
Key facts
- NPI
- 1295077683
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 28649 (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
- Organization subpart
- No
Authorized official
- Name
- Dr. John Andrew Droblyn, PHARMD.
- Title
- Pharmacist
- Phone
- (903) 376-1881
Subparts reporting this organization as parent 1
Practitioners 1
-
Johnathon Andrew Droblyn, PHARMD.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20131111000676 | TX | Part B Supplier - Pharmacy | 5890921399 | Practice locations: Lindale, TX |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 28649 | TX | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5908314 | Other | NCPDP | |
| 28649 | Other | TX | STATE LICENSE |
Other providers in Lindale, TX
- Johnathon Andrew Droblyn
- Michelle Kristine Dunn
- Holly Katrina Duplechain
- Dawn Marie Dushane
- Eagle Chiropractic LLC
- Eagle Pharmacy
- Eagle Pharmacy Hideaway
- East Texas Chiropractic & Wellness Center, PA
- East Texas Eye Care Associates PLLC
- Benedicto Edano
All providers in Lindale, TX · Community/Retail Pharmacy in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.