Mary Williams Eakman, R.PH.

Primary specialty

PharmacistTaxonomy code 183500000X

License

21104 Issued in TX

Practice address

2102 Pecos St
Ste 13
San Angelo, TX 76901-3061

Phone

(325) 949-5381

Fax

(325) 942-9997

NPI assigned

May 24, 2005

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pecos Street Pharmacy, Inc.

  dba Medi-Mart Pharmacy

  • Long Term Care Pharmacy
  • San Angelo, TX
  • NPI 1659374379
  NPD (past)

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1447253398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2102 PECOS ST",
            "address_2": "STE 13",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769013061",
            "telephone_number": "325-949-5381",
            "fax_number": "325-942-9997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2102 PECOS ST",
            "address_2": "STE 13",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769013061",
            "telephone_number": "325-949-5381",
            "fax_number": "325-942-9997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EAKMAN",
        "first_name": "MARY",
        "middle_name": "WILLIAMS",
        "name_prefix": "Mrs.",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-24",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "21104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE BOARD LICENSE NUM",
            "identifier": "21104",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keith M Duryea, CNS
• Dawn Kylie Dusek, RN
• Leigh Anne Kathleen Dycus
• E Hospice Group of Texas No. 2, LLC
• Doyle Douglas Eakman, R.PH.
• Amanda Beth East, OTR
• Gary Louis Eaton, APRN, FNP-C
• Joseph Bernard Eberhardt, LAT, ATC
• Dameon Echavarria
• Kristi Layne Eckert, LPC

• Pharmacist in San Angelo, TX
• Providers in San Angelo, TX by specialty
• Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.