NPIMap

Organization Active NPI

Village Foods LTD

Doing business as Village Foods

  • Community/Retail Pharmacy
  • Bryan, TX
National Provider Identifier
1528104148
Registry record updated Aug 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
26215 Issued in TX
Legal business name
VILLAGE FOODS LTD
Doing business as
Village Foods
Practice address
3030 E 29TH St
Suite 100
Bryan, TX 77802-2757
Phone
(979) 846-8199
Fax
(979) 846-0413
NPI assigned
Jan 30, 2007
Last updated
Aug 10, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2016

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

Authorized official

Name
James Lewis
Title
President
Phone
(979) 691-7160

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 26215 TX Primary

Addresses

Primary practice location

3030 E 29TH St
Suite 100
Bryan, TX 77802-2757

Mailing address

3030 E 29TH St
Suite 100
Bryan, TX 77802-2757
Phone (979) 846-8199

Other identifiers 2

IdentifierTypeStateIssuer
145947MedicaidTX
2101873OtherPK

Other names 1

  • VILLAGE FOODS Doing business as

National Provider Directory

National Provider Directory

Locations

3030 E 29th St
Ste 100
Bryan, TX 77802
Phone (979) 846-8199

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470787200000",
    "number": "1528104148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 E 29TH ST",
            "address_2": "SUITE 100",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778022757",
            "telephone_number": "979-846-8199",
            "fax_number": "979-846-0413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 E 29TH ST",
            "address_2": "SUITE 100",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778022757",
            "telephone_number": "979-846-8199",
            "fax_number": "979-846-0413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE FOODS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2016-08-10",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "979-691-7160"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "26215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145947",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2101873",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VILLAGE FOODS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bryan, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.