Dicot RX 1 LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

30140 Issued in TX

Legal business name

DICOT RX 1 LLC

Doing business as

Boerne Drug Company

Practice address

725 N Main St Ste 2
Boerne, TX 78006-1623

Phone

(830) 331-8183

Fax

(830) 428-2581

NPI assigned

Aug 14, 2015

Last updated

May 9, 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

Tiffany RichardNPI 1326392903

Title

Pic/Owner

Phone

(337) 288-7687

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Boerne Drug Company Doing business as

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.

• Tiffany L Richard, RPH

  • Pharmacist
  • Arnaudville, LA
  • NPI 1326392903
  Authorized official Same address or phone

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

{
    "created_epoch": "1439510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462752000000",
    "number": "1336515220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 N MAIN ST STE 2",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780061623",
            "telephone_number": "830-331-8183",
            "fax_number": "830-428-2581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 N MAIN ST STE 2",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780061623",
            "telephone_number": "830-331-8183",
            "fax_number": "830-428-2581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DICOT RX 1 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-14",
        "last_updated": "2016-05-09",
        "status": "A",
        "authorized_official_last_name": "RICHARD",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "PIC/OWNER",
        "authorized_official_telephone_number": "337-288-7687"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "30140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2153834",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boerne Drug Company",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alysha Lynn Dentler
• Thushan N Desilva, M.D.
• Tiffany Devlin, COTA
• Diaz Vision Center PA
• Tiffany Marie Diaz, FNP
• Dilley Psychology Group, P.C.
• Carrie N. Dilley, PH.D.
• Joseph Brandon Dilley, PH.D.
• Dillon's TLC
• Neil Doherty, PA-C

• Community/Retail Pharmacy in Boerne, TX
• Providers in Boerne, 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 May 9, 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.