Individual provider Active NPI

Johnathon Andrew Droblyn, PHARMD.

  • Pharmacist
  • Lindale, TX
National Provider Identifier
1447588652
Registry record updated Mar 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
47475 Issued in TX
Practice address
1404 S Main St
Lindale, TX 75771-6267
Phone
(903) 881-5752
Fax
(888) 374-1180
NPI assigned
Nov 28, 2009
Last updated
Mar 20, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 47475 TX Primary

Addresses

Primary practice location

1404 S Main St
Lindale, TX 75771-6267

Mailing address

224 Heritage CT
Lindale, TX 75771-6704
Phone (903) 376-1881

Other names 1

  • John A Droblyn Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
47475TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Eagle Pharmacy Current Accepting new patients
Eagle Pharmacy Current Accepting new patients

Locations

1404 S Main St
Lindale, TX 75771
Phone (903) 881-5752

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1259366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395273600000",
    "number": "1447588652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 HERITAGE CT",
            "city": "LINDALE",
            "state": "TX",
            "postal_code": "757716704",
            "telephone_number": "903-376-1881",
            "fax_number": "888-374-1180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1404 S MAIN ST",
            "city": "LINDALE",
            "state": "TX",
            "postal_code": "757716267",
            "telephone_number": "903-881-5752",
            "fax_number": "888-374-1180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DROBLYN",
        "first_name": "JOHNATHON",
        "middle_name": "ANDREW",
        "credential": "PHARMD.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-11-28",
        "last_updated": "2014-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "47475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOHN",
            "last_name": "DROBLYN",
            "middle_name": "A",
            "credential": "PHARM D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lindale, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2014; 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.