Tim Wasson Incorporated

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

21419 Issued in TX

Legal business name

TIM WASSON INCORPORATED

Doing business as

Medicine Shoppe

Practice address

612 E Main St
Henderson, TX 75652-2617

Phone

(903) 657-1593

Fax

(903) 657-8448

NPI assigned

Jul 31, 2005

Last updated

Mar 7, 2023By 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

Mr. Terry Tim Wasson, RPH

Title

President

Phone

(903) 657-1593

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• MEDICINE SHOPPE Doing business as

Locations

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

{
    "created_epoch": "1122768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1356341341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 E MAIN ST",
            "city": "HENDERSON",
            "state": "TX",
            "postal_code": "756522617",
            "telephone_number": "903-657-1593",
            "fax_number": "903-657-8448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 E MAIN ST",
            "city": "HENDERSON",
            "state": "TX",
            "postal_code": "756522617",
            "telephone_number": "903-657-1593",
            "fax_number": "903-657-8448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIM WASSON INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-31",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "WASSON",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "TIM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "903-657-1593",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "21419",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP #",
            "identifier": "4567737",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "143452",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDICINE SHOPPE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Megan Nicole Thigpen, DDS
• Tad Wayland Titlow, APN-C
• Titus County Hospital District (Henderson Health & Rehabilitation Center)
• Richard Arlington Todd, R.PH.
• Total Dose Henderson LLC (Strong-Hurt Pharmacy - LTC)
• Total Dose Henderson LLC (Strong-Hurt Pharmacy)

• Community/Retail Pharmacy in Henderson, TX
• Providers in Henderson, 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 Mar 7, 2023; 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.