Love Oak LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

30152 Issued in TX

Legal business name

LOVE OAK LLC

Doing business as

Love Oak Pharmacy

Practice address

805 W Main St
Eastland, TX 76448-2536

Phone

(254) 629-1791

Fax

(254) 629-3177

NPI assigned

Aug 26, 2015

Organization subpart

No

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

Authorized official

Name

Benjamin McNabb, PHARMD

Title

President

Phone

(254) 631-9662

Specialties & licenses 6

Addresses

Other identifiers 2

Other names 1

• Love Oak Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in TX3 enrollments

Enrollment records 3

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Love Oak LLC

  • Clinic/Center
  • Eastland, TX
  • NPI 1639936495

  2860792181

  Same PAC ID

Locations

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

{
    "created_epoch": "1440547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660089600000",
    "number": "1366819260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 W MAIN ST",
            "city": "EASTLAND",
            "state": "TX",
            "postal_code": "764482536",
            "telephone_number": "254-629-1791",
            "fax_number": "254-629-3177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 W MAIN ST",
            "city": "EASTLAND",
            "state": "TX",
            "postal_code": "764482536",
            "telephone_number": "254-629-1791",
            "fax_number": "254-629-3177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOVE OAK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-26",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A",
        "authorized_official_last_name": "MCNABB",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "254-631-9662",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "30152",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148432",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2153774",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Love Oak Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Love Oak Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Billy Don Jones, M.D.
• Lake Leon Dental PLLC
• Larry L. Maples, D.O., P.a.
• Tasha Lawson, MA, LPC
• Lifelong Wellness Clinic PLLC
• Love Oak LLC (Love Oak Long Term Care Pharmacy)
• Love Oak LLC
• Pamela J Lubke, PHARMD
• Masters Chiropractic, P.C. (Chiropractic Wellness Center)
• Benjamin Carson McNabb, PHARMD

• Community/Retail Pharmacy in Eastland, TX
• Providers in Eastland, 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 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.