Active NPI
Dana's Pharmacy Inc.
- Community/Retail Pharmacy
- Spur, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 17425
- Legal business name
- DANA'S PHARMACY INC.
- Practice address
- 315 Burlington Ave
Spur, TX 79370 - Phone
- (806) 271-3394
- Fax
- (806) 271-3631
- NPI assigned
- Apr 25, 2007
- Last updated
- Aug 30, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Dana Sue Tilton, RPH
- Title
- President
- Phone
- (806) 271-3394
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 17425 | TX | Primary |
| Long Term Care Pharmacy | 3336L0003X | 17425 | TX |
Addresses
Primary practice location
315 Burlington Ave
Spur, TX 79370
Mailing address
315 Burlington Ave
Spur, TX 79370-2812
Phone (806) 271-3394
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 144501 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20221005002894 | TX | Part B Supplier - Pharmacy | 8628454238 | Practice locations: Spur, TX |
| O20221115002688 | TX | Part B Supplier - Independent Clinical Laboratory | 8628454238 | Practice locations: Spur, TX |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2268608 | Dana's Pharmacy Inc | Certificate of waiver | Sep 13, 2026 |
National Provider Directory
National Provider DirectoryLocations
315 Burlington Ave
Spur, TX 79370
Phone (806) 271-3394
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": "1177459200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1535587200000",
"number": "1346469459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "315 BURLINGTON AVE",
"city": "SPUR",
"state": "TX",
"postal_code": "793702812",
"telephone_number": "806-271-3394",
"fax_number": "806-271-3631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 BURLINGTON AVE",
"city": "SPUR",
"state": "TX",
"postal_code": "79370",
"telephone_number": "806-271-3394",
"fax_number": "806-271-3631"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DANA'S PHARMACY INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-25",
"last_updated": "2018-08-30",
"status": "A",
"authorized_official_last_name": "TILTON",
"authorized_official_first_name": "DANA",
"authorized_official_middle_name": "SUE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "806-271-3394",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "TX",
"license": "17425",
"primary": true
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "TX",
"license": "17425",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "144501",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Spur, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.