Johnathon Andrew Droblyn, PHARMD.
Individual provider Active NPI Pharmacist · Lindale, TX
NPI 1447588652 · NPPES record last updated Mar 20, 2014
Key facts
- NPI
- 1447588652
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 47475 (TX)
- Practice address
- 1404 S Main St
Lindale, TX 75771-6267 - Phone
- (903) 881-5752
- Fax
- (888) 374-1180
- NPI assigned
- Nov 28, 2009
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 47475 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eagle Pharmacy | Current | Accepting new patients | |
| Eagle Pharmacy Hideaway | Current | Accepting new patients | |
| Eagle Pharmacy | Current | Accepting new patients |
Locations
1404 S Main St
Lindale, TX 75771
Phone (903) 881-5752
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 47475 | TX | Yes |
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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47475 | Other | TX | TEXAS STATE BOARD OF PHARMACY |
Other names
- John A Droblyn
Other providers in Lindale, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 20, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.