NPIMap

Organization Active NPI

Pfennigs Prescription Pharmacy Inc

  • Community/Retail Pharmacy
  • Taylor, TX
National Provider Identifier
1376535682
Registry record updated May 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5901 Issued in TX
Legal business name
PFENNIGS PRESCRIPTION PHARMACY INC
Practice address
511 N Main St
Taylor, TX 76574-3646
Phone
(512) 352-5233
Fax
(512) 352-9456
NPI assigned
Aug 22, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2023

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

Authorized official

Name
Prashanth Ponnam, RPHNPI 1932514262
Title
President / Pic
Phone
(512) 352-5233

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 5901 TX Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

511 N Main St
Taylor, TX 76574-3646

Mailing address

511 N Main St
Taylor, TX 76574-1139
Phone (512) 352-5233

Other identifiers 2

IdentifierTypeStateIssuer
2096197OtherPK
148878MedicaidTX

Other names 1

  • PFENNIGS PRESCRIPTION PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201214001046 TX Part B Supplier - Mass Immunization (Roster Biller Only) 2264844315 Practice locations: Taylor, TX

National Provider Directory

National Provider Directory
Tax ID family
Pfennig'S Prescription Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

511 N Main St
Taylor, TX 76574
Phone (512) 352-5233

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683417600000",
    "number": "1376535682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 N MAIN ST",
            "city": "TAYLOR",
            "state": "TX",
            "postal_code": "765741139",
            "telephone_number": "512-352-5233",
            "fax_number": "512-352-9456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 N MAIN ST",
            "city": "TAYLOR",
            "state": "TX",
            "postal_code": "765743646",
            "telephone_number": "512-352-5233",
            "fax_number": "512-352-9456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PFENNIGS PRESCRIPTION PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-22",
        "last_updated": "2023-05-07",
        "certification_date": "2023-05-07",
        "status": "A",
        "authorized_official_last_name": "PONNAM",
        "authorized_official_first_name": "PRASHANTH",
        "authorized_official_title_or_position": "PRESIDENT / PIC",
        "authorized_official_telephone_number": "512-352-5233",
        "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": "5901",
            "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": "2096197",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148878",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PFENNIGS PRESCRIPTION PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PFENNIGS PRESCRIPTION PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Taylor, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2023; 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.