Organization Active NPI

Synergistic Business Services Inc

  • Community/Retail Pharmacy
  • Brownwood, TX
National Provider Identifier
1518983477
Registry record updated Feb 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
24534 Issued in TX
Legal business name
SYNERGISTIC BUSINESS SERVICES INC
Doing business as
DOCS DRUGSTORE
Practice address
3800 Highway 377 S
Brownwood, TX 76801-5120
Phone
(325) 643-3800
Fax
(325) 643-3811
NPI assigned
Jul 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2014

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

Authorized official

Name
Joe Riley, RPH
Title
Owner
Phone
(325) 643-3800

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 24534 TX Primary

Addresses

Primary practice location

3800 Highway 377 S
Brownwood, TX 76801-5120

Mailing address

3800 Highway 377 S
Brownwood, TX 76801-5120
Phone (325) 643-3800

Other identifiers 2

IdentifierTypeStateIssuer
145613MedicaidTX
2098868OtherPK

Other names 1

  • DOCS DRUGSTORE Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20150723006811 TX Part B Supplier - Pharmacy 9436462249 Practice locations: Brownwood, TX
O20170503000157 TX Part B Supplier - Mass Immunization (Roster Biller Only) 9436462249 Practice locations: Brownwood, TX

National Provider Directory

National Provider Directory

Locations

3800 Highway 377 S
Brownwood, TX 76801
Phone (325) 643-3800

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393200000000",
    "number": "1518983477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 HIGHWAY 377 S",
            "city": "BROWNWOOD",
            "state": "TX",
            "postal_code": "768015120",
            "telephone_number": "325-643-3800",
            "fax_number": "325-643-3811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 HIGHWAY 377 S",
            "city": "BROWNWOOD",
            "state": "TX",
            "postal_code": "768015120",
            "telephone_number": "325-643-3800",
            "fax_number": "325-643-3811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGISTIC BUSINESS SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2014-02-24",
        "status": "A",
        "authorized_official_last_name": "RILEY",
        "authorized_official_first_name": "JOE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "325-643-3800",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "24534",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145613",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2098868",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DOCS DRUGSTORE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brownwood, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.