Panhandle Drug Store LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

26080 Issued in TX

Legal business name

PANHANDLE DRUG STORE LLC

Doing business as

Panhandle Drug Store

Practice address

201 Main Street
Panhandle, TX 79068

Phone

(806) 537-3034

Fax

(806) 537-5461

NPI assigned

Jan 9, 2007

Last updated

Jun 13, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mark LandNPI 1467444760

Title

President

Phone

(806) 537-3034

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• PANHANDLE DRUG STORE Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

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.

• Mark Alton Land, PHARM.D.

  • Pharmacist
  • Panhandle, TX
  • NPI 1467444760
  NPD Authorized official

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465776000000",
    "number": "1598814857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1654",
            "city": "PANHANDLE",
            "state": "TX",
            "postal_code": "790681654",
            "telephone_number": "806-537-3034",
            "fax_number": "806-537-5461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 MAIN STREET",
            "city": "PANHANDLE",
            "state": "TX",
            "postal_code": "79068",
            "telephone_number": "806-537-3034",
            "fax_number": "806-537-5461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANHANDLE DRUG STORE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2016-06-13",
        "status": "A",
        "authorized_official_last_name": "LAND",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "806-537-3034"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "26080",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "144799",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2104498",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PANHANDLE DRUG STORE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ashley Kops, STA
• Krogh Family Wellness Center, PLLC
• Mark Alton Land, PHARM.D.
• Britany Muniz, APRN FNP-C
• Loraine Nunez
• Panhandle Family Care LLC (Family Care Clinic of Panhandle)
• Panhandle Family Care LLC (Family Care Clinic of Panhandle)
• Panhandle Speech Therapy Services PLLC
• Sarah D Pillsbury, FNP-BC
• Brittany Porter

• Community/Retail Pharmacy in Panhandle, TX
• Providers in Panhandle, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2016; 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.