Organization Active NPI

Agp Pharmacy LLC

Doing business as Hometown Pharmacy

  • Community/Retail Pharmacy
  • Silverton, TX
National Provider Identifier
1427558386
Registry record updated Apr 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
29529 Issued in TX
Legal business name
AGP PHARMACY LLC
Doing business as
Hometown Pharmacy
Practice address
701 Commerce St
Silverton, TX 79257-2565
Phone
(806) 823-2109
Fax
(806) 823-2110
NPI assigned
Feb 17, 2018
Last updated
Apr 17, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2019

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

Authorized official

Name
Alisa PetersNPI 1841883519
Title
Owner/Manager
Phone
(806) 296-9000

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 29529 TX Primary

Addresses

Primary practice location

701 Commerce St
Silverton, TX 79257-2565

Mailing address

3200 Olton Rd Ste B
Plainview, TX 79072-6653
Phone (806) 296-9000

Other identifiers 1

IdentifierTypeStateIssuer
149957MedicaidTX

Other names 1

  • Hometown Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Agp Pharmacy LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the 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": "1518825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555459200000",
    "number": "1427558386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 OLTON RD STE B",
            "city": "PLAINVIEW",
            "state": "TX",
            "postal_code": "790726653",
            "telephone_number": "806-296-9000",
            "fax_number": "806-296-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 COMMERCE ST",
            "city": "SILVERTON",
            "state": "TX",
            "postal_code": "792572565",
            "telephone_number": "806-823-2109",
            "fax_number": "806-823-2110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGP PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-17",
        "last_updated": "2019-04-17",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "ALISA",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "806-296-9000"
    },
    "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": "29529",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149957",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hometown Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Silverton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.