NPIMap

Organization Active NPI

Conoly Drug Inc of Devine Inc

Doing business as Conoly Drug Healthmart

  • Community/Retail Pharmacy
  • Devine, TX
National Provider Identifier
1396964607
Registry record updated Feb 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
1855 Issued in TX
Legal business name
CONOLY DRUG INC OF DEVINE INC
Doing business as
Conoly Drug Healthmart
Practice address
200 S Teel Dr
Devine, TX 78016-3210
Phone
(830) 663-2224
Fax
(830) 665-3053
NPI assigned
Apr 25, 2007
Last updated
Feb 14, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2013

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

Authorized official

Name
Onis Wiemers, RPHNPI 1487884565
Title
President Manager and Pic
Phone
(830) 663-2224

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 1855 TX Primary

Addresses

Primary practice location

200 S Teel Dr
Devine, TX 78016-3210

Mailing address

PO Box R
Devine, TX 78016-0718
Phone (830) 663-2224

Other identifiers 2

IdentifierTypeStateIssuer
140249MedicaidTX
4518568OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • CONOLY DRUG HEALTHMART Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360800000000",
    "number": "1396964607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX R",
            "city": "DEVINE",
            "state": "TX",
            "postal_code": "780160718",
            "telephone_number": "830-663-2224",
            "fax_number": "830-665-3053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S TEEL DR",
            "city": "DEVINE",
            "state": "TX",
            "postal_code": "780163210",
            "telephone_number": "830-663-2224",
            "fax_number": "830-665-3053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONOLY DRUG INC OF DEVINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2013-02-14",
        "status": "A",
        "authorized_official_last_name": "WIEMERS",
        "authorized_official_first_name": "ONIS",
        "authorized_official_title_or_position": "PRESIDENT MANAGER AND PIC",
        "authorized_official_telephone_number": "830-663-2224",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "1855",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "140249",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4518568",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CONOLY DRUG HEALTHMART",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Devine, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2013; 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.