Dyer Drug Store, Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

13006 Issued in TX

Legal business name

DYER DRUG STORE, INC

Practice address

133 McKinney St
Farmersville, TX 75442-2221

Phone

(972) 782-6262

Fax

(972) 782-7870

NPI assigned

Aug 10, 2018

Last updated

Oct 28, 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

Stacy Evans Hickman

Title

Treasurer

Phone

(972) 782-6262

Specialties & licenses 1

Addresses

Practitioners 3

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 Dyer Hickman

  • Pharmacy Technician
  • Farmersville, TX
  • NPI 1851878482
  NPD
• Holly Leann Molloy, PHARM.D.

  • Pharmacist
  • Farmersville, TX
  • NPI 1366102261
  NPD (past)
• Wilson Lee Taylor, RPH.

  • Pharmacist
  • Farmersville, TX
  • NPI 1396807343
  NPD (past)

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

{
    "created_epoch": "1533859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603843200000",
    "number": "1417436387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 MCKINNEY ST",
            "city": "FARMERSVILLE",
            "state": "TX",
            "postal_code": "754422221",
            "telephone_number": "972-782-6262",
            "fax_number": "972-782-7870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 MCKINNEY ST",
            "city": "FARMERSVILLE",
            "state": "TX",
            "postal_code": "754422221",
            "telephone_number": "972-782-6262",
            "fax_number": "972-782-7870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYER DRUG STORE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-10",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A",
        "authorized_official_last_name": "HICKMAN",
        "authorized_official_first_name": "STACY",
        "authorized_official_middle_name": "EVANS",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "972-782-6262"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "TX",
            "license": "13006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin Destefano, LM, CPM
• Joe Pete Dickinson, FNP-C
• Cathy Nichole Dulin, LCSW
• Sara Elizabeth Dutton, MA, LPC
• Dyer Drug Store, Inc
• Edge Medical Services
• Carson H Everett, PHARMACIST
• Farmersville Dental Group
• Farmersville Isd
• FPT, Inc.

• Long Term Care Pharmacy in Farmersville, TX
• Providers in Farmersville, TX by specialty
• Long Term Care Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.