NPIMap

Organization Active NPI

Shackelford County Hospital District

  • Community/Retail Pharmacy
  • Albany, TX
National Provider Identifier
1376919977
Registry record updated Nov 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
30117 Issued in TX
Legal business name
SHACKELFORD COUNTY HOSPITAL DISTRICT
Practice address
104 S. Main St
Albany, TX 76430
Phone
(325) 762-3979
Fax
(325) 762-3982
NPI assigned
Aug 18, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2022

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

Authorized official

Name
Brandi Green
Title
District Administrator
Phone
(325) 762-3661

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 30117 TX Primary

Addresses

Primary practice location

104 S. Main St
Albany, TX 76430

Mailing address

PO Box 3116
Albany, TX 76430
Phone (325) 762-3979

Other identifiers 2

IdentifierTypeStateIssuer
2153911OtherPK
148191MedicaidTX

Other names 2

  • Sanders Drug Store Doing business as
  • Shackelford County EMS Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Shackelford County Ambu3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1439856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667952000000",
    "number": "1376919977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3116",
            "city": "ALBANY",
            "state": "TX",
            "postal_code": "76430",
            "telephone_number": "325-762-3979",
            "fax_number": "325-762-3982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 S. MAIN ST",
            "city": "ALBANY",
            "state": "TX",
            "postal_code": "76430",
            "telephone_number": "325-762-3979",
            "fax_number": "325-762-3982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHACKELFORD COUNTY HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-18",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "BRANDI",
        "authorized_official_title_or_position": "DISTRICT ADMINISTRATOR",
        "authorized_official_telephone_number": "325-762-3661"
    },
    "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": "30117",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2153911",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148191",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sanders Drug Store",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Shackelford County EMS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Shackelford County EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Albany, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2022; 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.