Norval D. Meredith

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

06116 Issued in TX

Legal business name

NORVAL D. MEREDITH

Practice address

706 Hutchins Ave
Ballinger, TX 76821-5609

Phone

(325) 365-3505

Fax

(325) 365-5376

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Norval Meredith, PHARMACY

Title

Owner Pharmacist

Phone

(325) 365-3505

Specialties & licenses 3

Addresses

Other identifiers 4

Other names 1

• KEEL DRUG STORE Doing business as

Locations

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279670400000",
    "number": "1295847101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 HUTCHINS AVE",
            "city": "BALLINGER",
            "state": "TX",
            "postal_code": "768215609",
            "telephone_number": "325-365-3505",
            "fax_number": "325-365-5376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 HUTCHINS AVE",
            "city": "BALLINGER",
            "state": "TX",
            "postal_code": "768215609",
            "telephone_number": "325-365-3505",
            "fax_number": "325-365-5376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORVAL D. MEREDITH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2010-07-21",
        "status": "A",
        "authorized_official_last_name": "MEREDITH",
        "authorized_official_first_name": "NORVAL",
        "authorized_official_title_or_position": "OWNER PHARMACIST",
        "authorized_official_telephone_number": "325-365-3505",
        "authorized_official_credential": "PHARMACY"
    },
    "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": "06116",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142093",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4513582",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "013712701",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "091454101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KEEL DRUG STORE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Legend Physical Therapy of Ballinger, LLC
• Paul Mitchell Linden, MD
• Kerry L Lockett, M.D.
• Jimmie D. Lummus, DPM
• Dang Nguyen, PHARMD
• Duke Obiagwu, PHARMD
• Raymond Perry Orr, OT
• Amy Lynn Page, PA-C
• Rhonda Nancarrow Pupella, LCSW
• Wendy Rackley, PHARM.D.

• Community/Retail Pharmacy in Ballinger, TX
• Providers in Ballinger, 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 Jul 21, 2010; 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.