Organization Active NPI

Bear's Compounding Pharmacy LLC

Doing business as Bear's Compounding Pharmacy

  • Long Term Care Pharmacy
  • Georgetown, TX
National Provider Identifier
1336903533
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
BEAR'S COMPOUNDING PHARMACY LLC
Doing business as
Bear's Compounding Pharmacy
Practice address
109 W 7TH St Ste 115
Georgetown, TX 78626-5720
Phone
(512) 807-0622
Fax
(512) 843-7255
NPI assigned
Feb 8, 2024
Last updated
Feb 8, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2024

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

Authorized official

Name
Lorin MartinNPI 1205690344
Title
Pic/ Owner
Phone
(512) 807-0622

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

109 W 7TH St Ste 115
Georgetown, TX 78626-5720

Mailing address

109 W 7TH St Ste 115
Georgetown, TX 78626-5720
Phone (512) 807-0622

Other names 1

  • Bear's Compounding Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bear's Compounding Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

109 W 7th St
Ste 115
Georgetown, TX 78626
Phone (512) 807-0622

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1707350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707350400000",
    "number": "1336903533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 W 7TH ST STE 115",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786265720",
            "telephone_number": "512-807-0622",
            "fax_number": "512-843-7255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 W 7TH ST STE 115",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786265720",
            "telephone_number": "512-807-0622",
            "fax_number": "512-843-7255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAR'S COMPOUNDING PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-08",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "LORIN",
        "authorized_official_title_or_position": "PIC/ OWNER",
        "authorized_official_telephone_number": "512-807-0622"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bear's Compounding Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Georgetown, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; 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.