Driscoll Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

17365 Issued in TX

Legal business name

DRISCOLL PHARMACY INC

Doing business as

Driscoll Pharmacy

Practice address

816 Frontage Rd
Idalou, TX 79329-9100

Phone

(806) 892-2561

Fax

(806) 892-3647

NPI assigned

Apr 21, 2006

Last updated

Sep 29, 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

John Driscoll, PARM DNPI 1811995798

Title

President

Phone

(806) 892-2561

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• DRISCOLL PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in TX2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

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.

• John Paul Driscoll, PHARM.D.

  • Pharmacist
  • Idalou, TX
  • NPI 1811995798
  NPD Authorized official

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601337600000",
    "number": "1386600195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 FRONTAGE RD",
            "city": "IDALOU",
            "state": "TX",
            "postal_code": "793299100",
            "telephone_number": "806-892-2561",
            "fax_number": "806-892-3647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 FRONTAGE RD",
            "city": "IDALOU",
            "state": "TX",
            "postal_code": "793299100",
            "telephone_number": "806-892-2561",
            "fax_number": "806-892-3647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRISCOLL PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-21",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-29",
        "status": "A",
        "authorized_official_last_name": "DRISCOLL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "806-892-2561",
        "authorized_official_credential": "PARM D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "17365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "144512",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2097884",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DRISCOLL PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Autumn House, Inc.
• Donna L Brazell, N.P.
• Vicki Buxkemper, FNP
• City of Idalou
• Lannie Earl Devin, DDS
• John Paul Driscoll, PHARM.D.
• Educare Community Living Limited Partnership
• Jennifer R Gonzalez, MA, LPC, NCC
• Whitney Kelly Hargrove
• Kristen Hill

• Community/Retail Pharmacy in Idalou, TX
• Providers in Idalou, 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 Sep 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.