City Drug Store of Nocona Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

02607 Issued in TX

Legal business name

CITY DRUG STORE OF NOCONA INC

Doing business as

Gibbs Drug Store

Practice address

216 Clay Street
Nocona, TX 76255-0458

Phone

(940) 825-3226

Fax

(940) 825-4899

NPI assigned

Mar 5, 2007

Last updated

Aug 22, 2020By 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. Russell Wayne Fenoglio, RPH

Title

President

Phone

(940) 825-3226

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Gibbs Drug Store Doing business as

Locations

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376672204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 458",
            "address_2": "216 CLAY STREET",
            "city": "NOCONA",
            "state": "TX",
            "postal_code": "762550458",
            "telephone_number": "940-825-3226",
            "fax_number": "940-825-4899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 CLAY STREET",
            "city": "NOCONA",
            "state": "TX",
            "postal_code": "762550458",
            "telephone_number": "940-825-3226",
            "fax_number": "940-825-4899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY DRUG STORE OF NOCONA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FENOGLIO",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "940-825-3226",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "02607",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120815",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gibbs Drug Store",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Teresa Renae Anderle, M.S., C.C.C. / SLP
• Kristi Atkison Barrett, M.S., P.T.
• Tyler John Lee Benson, D.O.
• Jae Berman, RDN
• Kimberly Michelle Bruhn, PT
• David E Sears DDS (Nocona Family Dentistry)
• Chance Wayne Dingler, MD
• Leonard Thomas Dingler, MD
• Tommy Ray Duncan, NURSE ANESTHETIST
• Fisher Dentistry Nocona PLLC

• Community/Retail Pharmacy in Nocona, TX
• Providers in Nocona, 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 22, 2020; 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.