Active NPI
Memphis Pharmacy LLC
Doing business as Hebbronville Pharmacy
- Pharmacy
- Hebbronville, TX
National Provider Identifier
1568424273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- Legal business name
- MEMPHIS PHARMACY LLC
- Doing business as
- Hebbronville Pharmacy
Memphis Drug - Practice address
- 210 W Viggie St Unit 1
Hebbronville, TX 78361-3048 - Phone
- (361) 691-0822
- Fax
- (361) 691-0822
- NPI assigned
- Apr 6, 2006
- Last updated
- May 21, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nandana Kavuri
- Title
- Officer
- Phone
- (214) 620-7220
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | Primary |
Addresses
Primary practice location
210 W Viggie St Unit 1
Hebbronville, TX 78361-3048
Mailing address
PO Box 1488
Coppell, TX 75019-1405
Phone (361) 691-0822
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4590988 | Other | TX | NABP NUMBER |
| 145319 | Medicaid | TX |
Other names 2
- Hebbronville Pharmacy
- Memphis Drug
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 5
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210527000784 | TX | Part B Supplier - Mass Immunization (Roster Biller Only) | 9436558202 | Practice locations: Memphis, TX |
| O20211201001396 | TX | Part B Supplier - Independent Clinical Laboratory | 9436558202 | Practice locations: Memphis, TX |
| O20220322001043 | TX | Part B Supplier - Pharmacy | 9436558202 | Practice locations: Memphis, TX |
| O20241009001474 | TX | DME Supplier - Pharmacy | 3476084815 | Practice locations: Memphis, TX |
| O20241017000018 | TX | Part B Supplier - Pharmacy | 3476084815 | Practice locations: Memphis, TX |
National Provider Directory
National Provider DirectoryLocations
210 W Viggie St
Unit 1
Hebbronville, TX 78361
Phone (361) 691-0822
506 W Noel St
Memphis, TX 79245
Phone (806) 259-5067
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144281600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1779321600000",
"number": "1568424273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1488",
"city": "COPPELL",
"state": "TX",
"postal_code": "750191405",
"telephone_number": "361-691-0822",
"fax_number": "361-691-0823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 W VIGGIE ST UNIT 1",
"city": "HEBBRONVILLE",
"state": "TX",
"postal_code": "783613048",
"telephone_number": "361-691-0822",
"fax_number": "361-691-0822"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEMPHIS PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-06",
"last_updated": "2026-05-21",
"certification_date": "2026-05-21",
"status": "A",
"authorized_official_last_name": "KAVURI",
"authorized_official_first_name": "NANDANA",
"authorized_official_title_or_position": "OFFICER",
"authorized_official_telephone_number": "214-620-7220"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NABP NUMBER",
"identifier": "4590988",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "145319",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Hebbronville Pharmacy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Memphis Drug",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Hebbronville, TX
- Hospitality House of Hebbronville
- Jim Hogg Co. Nutrition Program
- Jim Hogg County Isd
- La Popular Pharmacy 2 LLC (Lifecare Pharmacy)
- Ashley Anne Martinez
- Nurses on Wheels of Hebbronville, Inc.
- Palomita Primary Home Care
- Quality Care Ambulance Service Inc.
- Rafael Ricardo Ramirez, DDS FAGD
- Briana Lynette Ridenour
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2026; 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.