Spellbound LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

SPELLBOUND LLC

Practice address

2600 Bee Creek Road Suite 1
Spicewood, TX 78669-6711

Phone

(512) 788-2285

Fax

(512) 344-9595

NPI assigned

Aug 15, 2014

Organization subpart

No

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

Authorized official

Name

Janeen Marie Coco

Title

Owner/Pharmacist in Charge

Phone

(512) 788-2285

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1408060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421193600000",
    "number": "1609275668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 BEE CREEK ROAD SUITE 1",
            "city": "SPICEWOOD",
            "state": "TX",
            "postal_code": "786696711",
            "telephone_number": "512-788-2285",
            "fax_number": "512-344-9595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 BEE CREEK ROAD SUITE 1",
            "city": "SPICEWOOD",
            "state": "TX",
            "postal_code": "786696711",
            "telephone_number": "512-788-2285",
            "fax_number": "512-344-9595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPELLBOUND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-15",
        "last_updated": "2015-01-14",
        "status": "A",
        "authorized_official_last_name": "COCO",
        "authorized_official_first_name": "JANEEN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER/PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "512-788-2285"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "TX",
            "license": "29343",
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Deanna Saucedo, PHARMD
• Gary Sengbusch, DDS
• Heather Nicole Shablin, RDN, LD, PTAG-CPT
• Lynn Lokelani Shehan, APRN, AGACNP - BC
• Megan Deann Smith
• Spicewood Volunteer Fire Department Emergency Medical Services, Inc
• Spirit Lodge
• Sun Rises Speech & Language Services, PLLC
• The Cottage of Lakeway
• Courtney Ruth Trimmer, LPC

• All providers in Spicewood, TX
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2015; 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.