Terry Glen Landrum
Individual provider Active NPI Pharmacist · Early, TX
NPI 1356926489 · NPPES record last updated Mar 10, 2021
Key facts
- NPI
- 1356926489
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 27749 (TX)
- Practice address
- 1210 C C Woodson Rd
Early, TX 76802-8204 - Phone
- (325) 646-2500
- Fax
- (325) 641-0357
- NPI assigned
- Mar 10, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27749 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Docs Drugstore of Early Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 27749 | TX | Yes |
Addresses
Primary practice location
1210 C C Woodson Rd
Early, TX 76802-8204
Mailing address
1210 C C Woodson Rd
Early, TX 76802-8204
Phone (325) 646-2500
Other providers in Early, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 10, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.