Groesbeck City Drug

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28532 Issued in TX

Legal business name

GROESBECK CITY DRUG

Doing business as

Groesbeck City Drug

Practice address

404 S Dr J B Riggs Dr
Groesbeck, TX 76642-1824

Phone

(254) 729-3092

Fax

(254) 729-3999

NPI assigned

Aug 18, 2006

Last updated

Nov 21, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jason Glen Thomas Graves, PHARM. D

Title

Owner

Phone

(254) 729-3092

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Groesbeck City Drug Doing business as

Practitioners 2

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.

• Landon Schwartz

  • Pharmacist
  • Hubbard, TX
  • NPI 1235543307
  NPD
• Woody Greer Shultz, R.PH.

  • Pharmacist
  • Groesbeck, TX
  • NPI 1164567657
  NPD (past)

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479686400000",
    "number": "1457465445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 S DR J B RIGGS DR",
            "city": "GROESBECK",
            "state": "TX",
            "postal_code": "766421824",
            "telephone_number": "254-729-3092",
            "fax_number": "254-729-3999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 S DR J B RIGGS DR",
            "city": "GROESBECK",
            "state": "TX",
            "postal_code": "766421824",
            "telephone_number": "254-729-3092",
            "fax_number": "254-729-3999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROESBECK CITY DRUG",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2016-11-21",
        "status": "A",
        "authorized_official_last_name": "GRAVES",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "GLEN THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "254-729-3092",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARM. D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "28532",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2139869",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Groesbeck City Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• County Hematology-Oncology Clinics
• Charles Samuel Dillon III, DDS
• Dale E. Dyer, F.N.P.
• Donald Lynn Glass, ATC, LAT
• Eduardo Abraham Gonzalez Fernandez, MD
• Groesbeck Dentist PLLC (Stevens Dental)
• Groesbeck Family Dental
• Groesbeck Healthcare Residence LLC (Windsor Nursing and Rehab Center)
• Groesbeck Isd
• Groesbeck LTC Partners, Inc.

• Community/Retail Pharmacy in Groesbeck, TX
• Providers in Groesbeck, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2016; 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.