Village Pharmacy

Primary specialty

PharmacistTaxonomy code 183500000X

License

31492 Issued in TX

Legal business name

VILLAGE PHARMACY

Practice address

213 Mill Creek Dr
Suite 155
Salado, TX 76571-5537

Phone

(254) 947-3185

NPI assigned

Jan 11, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Stan Drake, RPH

Title

Owner

Phone

(254) 947-3185

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219795200000",
    "number": "1598815664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 MILL CREEK DR",
            "address_2": "SUITE 155",
            "city": "SALADO",
            "state": "TX",
            "postal_code": "765715537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 MILL CREEK DR",
            "address_2": "SUITE 155",
            "city": "SALADO",
            "state": "TX",
            "postal_code": "765715537",
            "telephone_number": "254-947-3185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2008-08-27",
        "status": "A",
        "authorized_official_last_name": "DRAKE",
        "authorized_official_first_name": "STAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "254-947-3185",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "31492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "144304",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cairn Timko
• Lori K Underwood
• Marisol Valdez
• Chris Vaneaton, PHARMD
• Marcie Marie Vasquez, FNP
• Kaitlynn Wadford, RBT
• Demetrius Walton, LMFT
• Cheryl Warren, M.D.
• Wilbea Medical Equipment LLC
• Jeremiah Wilkerson

• All providers in Salado, TX
• Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2008; 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.