Haskell Drug Store Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

25305 Issued in TX

Legal business name

HASKELL DRUG STORE INC

Doing business as

Haskell Clinical Services

Practice address

100 S Avenue E
Ste B
Haskell, TX 79521-5711

Phone

(940) 864-2674

Fax

(940) 864-3731

NPI assigned

Dec 1, 2006

Last updated

Jun 8, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lonnie MeredithNPI 1013059203

Title

Owner Pic

Phone

(940) 864-2674

Specialties & licenses 2

Addresses

Other names 1

• HASKELL CLINICAL SERVICES Doing business as

Locations

Practitioners 2

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.

• Lonnie Lavaughn Meredith, RPH

  • Pharmacist
  • Haskell, TX
  • NPI 1013059203
  NPD (past) Authorized official
• Nathan Buerkle, PHARMD

  • Pharmacist
  • Haskell, TX
  • NPI 1396300851
  NPD

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465344000000",
    "number": "1306914809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S AVENUE E",
            "address_2": "STE B",
            "city": "HASKELL",
            "state": "TX",
            "postal_code": "795215711",
            "telephone_number": "940-864-2674",
            "fax_number": "940-864-3731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S AVENUE E",
            "address_2": "STE B",
            "city": "HASKELL",
            "state": "TX",
            "postal_code": "795215711",
            "telephone_number": "940-864-2674",
            "fax_number": "940-864-3731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HASKELL DRUG STORE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2016-06-08",
        "status": "A",
        "authorized_official_last_name": "MEREDITH",
        "authorized_official_first_name": "LONNIE",
        "authorized_official_title_or_position": "OWNER PIC",
        "authorized_official_telephone_number": "940-864-2674"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "TX",
            "license": "25305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HASKELL CLINICAL SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Haskell County Hospital (Haskell Memorial Hospital Pharmacy)
• Haskell County Hospital (Haskell Rural Health Clinic)
• Haskell County Hospital (Haskell Memorial Hospital Clinic)
• Haskell Dental Partnership, PLLC (Big Country Family Dental)
• Haskell Drug Store Inc (The Drug Store)
• Healing Play Counseling, PLLC
• Holiday Lodge Healthcare Center
• Hope in Healing Counseling, PLLC
• Jason M. Mahoney DMD, PLLC (Big Country Family Dental)
• Kelby Johnson, FNP

• Long Term Care Pharmacy in Haskell, TX
• Providers in Haskell, TX by specialty
• Long Term Care Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2016; 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.