Active NPI
El Campo Professional Pharmacy
- Community/Retail Pharmacy
- El Campo, TX
National Provider Identifier
1376565200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 28096
- Legal business name
- EL CAMPO PROFESSIONAL PHARMACY
- Practice address
- 1264 N. Mechanic St.
El Campo, TX 77437 - Phone
- (979) 543-2761
- Fax
- (979) 543-2840
- NPI assigned
- Jul 23, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Michael Muecke, RPH
- Title
- President
- Phone
- (979) 244-1772
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 28096 | TX | |
| Community/Retail Pharmacy | 3336C0003X | 28096 | Primary |
Addresses
Primary practice location
1264 N. Mechanic St.
El Campo, TX 77437
Mailing address
1264 N. Mechanic St.
El Campo, TX 77437
Phone (979) 543-2761
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4519053 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| 110741 | Medicaid | TX |
Other names 1
- Professional Pharmacy
National Provider Directory
National Provider Directory- Tax ID family
- Muecke Company Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Palacios, TX
- NPI 1427160332
-
- Community/Retail Pharmacy
- Bay City, TX
- NPI 1619089521
Locations
1264 N Mechanic St
El Campo, TX 77437
Phone (979) 543-2761
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153612800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1347494400000",
"number": "1376565200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1264 N. MECHANIC ST.",
"city": "EL CAMPO",
"state": "TX",
"postal_code": "77437",
"telephone_number": "979-543-2761",
"fax_number": "979-543-2840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1264 N. MECHANIC ST.",
"city": "EL CAMPO",
"state": "TX",
"postal_code": "77437",
"telephone_number": "979-543-2761",
"fax_number": "979-543-2840"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EL CAMPO PROFESSIONAL PHARMACY",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-23",
"last_updated": "2012-09-13",
"status": "A",
"authorized_official_last_name": "MUECKE",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "979-244-1772",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "TX",
"license": "28096",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": "28096",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
"identifier": "4519053",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110741",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Professional Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in El Campo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.