Organization Active NPI

Three Rivers Pharmacy, LLC

Doing business as Campbell Drug Store

  • Long Term Care Pharmacy
  • Three Rivers, TX
National Provider Identifier
1598523730
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
THREE RIVERS PHARMACY, LLC
Doing business as
Campbell Drug Store
Practice address
101 West Thornton
Three Rivers, TX 78071
Phone
(361) 786-3757
Fax
(361) 786-3279
NPI assigned
Mar 12, 2024
Last updated
Mar 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2024

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

Authorized official

Name
Aaron Gibson, PHARM.D., M.S.NPI 1194126243
Title
Owner/Manager
Phone
(432) 523-4861

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X NU Primary

Addresses

Primary practice location

101 West Thornton
Three Rivers, TX 78071

Mailing address

813 Hospital Dr
Andrews, TX 79714-3618
Phone (432) 523-4861

Other names 1

  • Campbell Drug Store Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Campbell Drug Store2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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": "1710201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710201600000",
    "number": "1598523730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 HOSPITAL DR",
            "city": "ANDREWS",
            "state": "TX",
            "postal_code": "797143618",
            "telephone_number": "432-523-4861",
            "fax_number": "432-524-4418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 WEST THORNTON",
            "city": "THREE RIVERS",
            "state": "TX",
            "postal_code": "78071",
            "telephone_number": "361-786-3757",
            "fax_number": "361-786-3279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THREE RIVERS PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-12",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-08",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "432-523-4861",
        "authorized_official_credential": "PHARM.D., M.S."
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Campbell Drug Store",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Three Rivers, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; 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.