Organization Active NPI

Frontier Pharmacy Inc.

  • Pharmacy
  • Kerrville, TX
National Provider Identifier
1386628311
Registry record updated Nov 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
03598 Issued in TX
Legal business name
FRONTIER PHARMACY INC.
Practice address
1001 Water St Ste F-100
Kerrville, TX 78028-3573
Phone
(830) 896-2466
Fax
(830) 896-7689
NPI assigned
Dec 2, 2005
Last updated
Nov 5, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2019

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

Authorized official

Name
Lucky Steve Ott Jr.
Title
Owner
Phone
(830) 896-2466

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 03598 TX Primary

Addresses

Primary practice location

1001 Water St Ste F-100
Kerrville, TX 78028-3573

Mailing address

1001 Water St Ste F-100
Kerrville, TX 78028-3573
Phone (830) 896-2466

National Provider Directory

National Provider Directory

Locations

1001 Water St
Ste F-100
Kerrville, TX 78028
Phone (830) 896-2466

209 Earl Garrett St
Kerrville, TX 78028

NPI Registry JSON

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

{
    "created_epoch": "1133481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572912000000",
    "number": "1386628311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 WATER ST STE F-100",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780283573",
            "telephone_number": "830-896-2466",
            "fax_number": "830-896-7689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 WATER ST STE F-100",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780283573",
            "telephone_number": "830-896-2466",
            "fax_number": "830-896-7689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRONTIER PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-02",
        "last_updated": "2019-11-05",
        "status": "A",
        "authorized_official_last_name": "OTT",
        "authorized_official_first_name": "LUCKY",
        "authorized_official_middle_name": "STEVE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "830-896-2466",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "TX",
            "license": "03598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kerrville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2019; 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.