Organization Active NPI

Memphis Pharmacy LLC

Doing business as Hebbronville Pharmacy

  • Pharmacy
  • Hebbronville, TX
National Provider Identifier
1568424273
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2026

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
4590988OtherTXNABP NUMBER
145319MedicaidTX

Other names 2

  • Hebbronville Pharmacy Doing business as
  • Memphis Drug Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX5 enrollments

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
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 - PharmacyDME Supplier - Medical Supply Company With Registered Pharmacist 3476084815 Practice locations: Memphis, TX
O20241017000018 TX Part B Supplier - Pharmacy 3476084815 Practice locations: Memphis, TX

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.