Gary Louis Opdenhoff

Primary specialty

PharmacistTaxonomy code 183500000X

License

31083 Issued in TX

Practice address

1501 Roosevelt St
Borger, TX 79007-4408

Phone

(806) 274-7243

Fax

(806) 274-3557

NPI assigned

Oct 31, 2020

Last updated

Oct 31, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wal-Mart Stores Texas LLC

  dba Walmart Pharmacy 10-1516

  • Community/Retail Pharmacy
  • Borger, TX
  • NPI 1184641342
  NPD (past)
• Wal-Mart Stores Texas, LLC

  dba Walmart Pharmacy 10-1484

  • Community/Retail Pharmacy
  • Melissa, TX
  • NPI 1386521797
  NPD (past)

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

{
    "created_epoch": "1604102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604102400000",
    "number": "1326648916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 PELLINORE ST",
            "city": "BORGER",
            "state": "TX",
            "postal_code": "790076342",
            "telephone_number": "806-674-7973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 ROOSEVELT ST",
            "city": "BORGER",
            "state": "TX",
            "postal_code": "790074408",
            "telephone_number": "806-274-7243",
            "fax_number": "806-274-3557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OPDENHOFF",
        "first_name": "GARY",
        "middle_name": "LOUIS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-31",
        "last_updated": "2020-10-31",
        "certification_date": "2020-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "31083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Sue Nozoor, NP
• NWTX Physician Network, PLLC
• NWTX Physician Network, PLLC
• NWTX Physician Network, PLLC
• Chelsea Lynn Opdenhoff, APRN, FNP
• Lindsey Overall, MS CCC-SLP
• Panhandle Case Management
• Panhandle Homecare, LLC (Excelacare Home Health)
• Panhandle Isd
• Shaunda Lynn Patterson, R.M.T, M.M.P

• Pharmacist in Borger, TX
• Providers in Borger, TX by specialty
• Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2020; 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.