Travis C. Meitzen,Jr Hudman Drug

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

19477 Issued in TX

Legal business name

TRAVIS C. MEITZEN,JR HUDMAN DRUG

Doing business as

Hudman Drug Store

Practice address

201 N Main St
San Angelo, TX 76903-4841

Phone

(325) 655-6961

NPI assigned

Oct 27, 2006

Last updated

Jun 17, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Travis Charles Meitzen, Jr, R PH

Title

Owner Pharmacist

Phone

(325) 655-6961

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Hudman Drug Store Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Erika M. Popkin, R.PH.

  • Pharmacist
  • San Angelo, TX
  • NPI 1992836274
  NPD (past)

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1376629865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N MAIN ST",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769034841",
            "telephone_number": "325-655-6961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N MAIN ST",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769034841",
            "telephone_number": "325-655-6961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAVIS C. MEITZEN,JR HUDMAN DRUG",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "MEITZEN, JR",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER PHARMACIST",
        "authorized_official_telephone_number": "325-655-6961",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R PH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "19477",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "144859",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "4529939",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hudman Drug Store",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Serina Denise Torres, M.S.
• Vidal Hernandez Torres Jr., FNP-C
• Raul Tovias Coronado
• Chelsie Towler
• Transforming Lives Counseling
• Travis Medical Sales Corporation
• J Concepcion Trejo Godoy
• Martha Ginny Trevino
• Denette Renee Trimble, RRT, RPSGT, RST
• Jym Edward Trimble, RN

• Community/Retail Pharmacy in San Angelo, TX
• Providers in San Angelo, 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 Jun 17, 2008; 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.