Ennis Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

21464 Issued in TX

Legal business name

ENNIS PHARMACY INC

Practice address

411 Main St
Sulphur Springs, TX 75482-2762

Phone

(903) 885-0821

NPI assigned

Oct 18, 2005

Organization subpart

Yes

Parent organization

SAV-MORE DRUG, INC.As reported in NPPES

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

Authorized official

Name

Joe Weaver, RPH

Title

President

Phone

(903) 885-0821

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• MEDICINE CHEST #116 Doing business as

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377475200000",
    "number": "1366431751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 796",
            "city": "SULPHUR SPRINGS",
            "state": "TX",
            "postal_code": "754830796",
            "telephone_number": "903-885-0821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 MAIN ST",
            "city": "SULPHUR SPRINGS",
            "state": "TX",
            "postal_code": "754822762",
            "telephone_number": "903-885-0821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENNIS PHARMACY INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAV-MORE DRUG, INC.",
        "enumeration_date": "2005-10-18",
        "last_updated": "2013-08-26",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "JOE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "903-885-0821",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "21464",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2101271",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145148",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDICINE CHEST #116",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Sulphur Springs, TX
• Providers in Sulphur Springs, 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 Aug 26, 2013; 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.