Organization Active NPI

Muecke Company Inc

Doing business as Palacios Prescription Shoppe

  • Community/Retail Pharmacy
  • Palacios, TX
National Provider Identifier
1427160332
Registry record updated Oct 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
6185 Issued in TX
Legal business name
MUECKE COMPANY INC
Doing business as
Palacios Prescription Shoppe
Practice address
321 Main St
Palacios, TX 77465-5461
Phone
(361) 972-3608
Fax
(361) 972-2682
NPI assigned
Aug 31, 2006
Last updated
Oct 9, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2014

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

Authorized official

Name
Leigh Ann Roemer, RPH
Title
Pic
Phone
(361) 972-3608

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 6185 TX Primary

Addresses

Primary practice location

321 Main St
Palacios, TX 77465-5461

Mailing address

321 Main St
Palacios, TX 77465-5461
Phone (361) 972-3608

Other identifiers 2

IdentifierTypeStateIssuer
2102584OtherPK
142181MedicaidTX

Other names 1

  • PALACIOS PRESCRIPTION SHOPPE Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201014003329 TX Part B Supplier - Pharmacy 2769549435 Practice locations: Palacios, TX

National Provider Directory

National Provider Directory
Tax ID family
Muecke Company Inc3 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.

Locations

321 Main St
Palacios, TX 77465
Phone (361) 972-3608

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": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412812800000",
    "number": "1427160332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 MAIN ST",
            "city": "PALACIOS",
            "state": "TX",
            "postal_code": "774655461",
            "telephone_number": "361-972-3608",
            "fax_number": "361-972-2682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 MAIN ST",
            "city": "PALACIOS",
            "state": "TX",
            "postal_code": "774655461",
            "telephone_number": "361-972-3608",
            "fax_number": "361-972-2682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUECKE COMPANY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2014-10-09",
        "status": "A",
        "authorized_official_last_name": "ROEMER",
        "authorized_official_first_name": "LEIGH ANN",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "361-972-3608",
        "authorized_official_credential": "RPH"
    },
    "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": "6185",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2102584",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142181",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PALACIOS PRESCRIPTION SHOPPE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palacios, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.