Rmac Village Pharmacy Dba Village Pharmacy

Primary specialty

PharmacistTaxonomy code 183500000X

License

24207 Issued in TX

Legal business name

RMAC VILLAGE PHARMACY DBA VILLAGE PHARMACY

Practice address

1336 League Line Rd
100
Conroe, TX 77304-3423

Phone

(936) 756-7456

Fax

(936) 701-5078

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Roxian McMillan, RPH

Title

Owner/Secretary

Phone

(936) 756-7456

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

Practitioners 1

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

• Todd McCaskill

  • Pharmacist
  • Conroe, TX
  • NPI 1972189397
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464220800000",
    "number": "1376641936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1336 LEAGUE LINE RD",
            "address_2": "100",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773043423",
            "telephone_number": "936-756-7456",
            "fax_number": "936-701-5078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1336 LEAGUE LINE RD",
            "address_2": "100",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773043423",
            "telephone_number": "936-756-7456",
            "fax_number": "936-701-5078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RMAC VILLAGE PHARMACY DBA VILLAGE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2016-05-26",
        "status": "A",
        "authorized_official_last_name": "MCMILLAN",
        "authorized_official_first_name": "ROXIAN",
        "authorized_official_title_or_position": "OWNER/SECRETARY",
        "authorized_official_telephone_number": "936-756-7456",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "24207",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "165613402",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "165613401",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "143795",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "4569971",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Hira Rizvi, MD
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• Lauren Robbins, OTR
• Shelby L Robbins, LVN
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• Pharmacist in Conroe, TX
• Providers in Conroe, TX by specialty
• Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2016; 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.