NPIMap

Organization Active NPI

Stanley R Or Sherrie D Payne

Doing business as Payne Family Pharmacy

  • Community/Retail Pharmacy
  • Floydada, TX
National Provider Identifier
1609955376
Registry record updated Dec 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
15796 Issued in TX
Legal business name
STANLEY R OR SHERRIE D PAYNE
Doing business as
Payne Family Pharmacy
Practice address
200 S Main St
Floydada, TX 79235-2726
Phone
(806) 983-5111
Fax
(806) 983-2819
NPI assigned
Nov 3, 2006
Last updated
Dec 5, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2016

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

Authorized official

Name
Denice Payne, RPH
Title
Owner
Phone
(806) 983-5111

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 15796 TX Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

200 S Main St
Floydada, TX 79235-2726

Mailing address

200 S Main St
Floydada, TX 79235-2726
Phone (806) 983-5111

Other identifiers 2

IdentifierTypeStateIssuer
144045MedicaidTX
2102375OtherPK

Other names 1

  • PAYNE FAMILY PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201208001269 TX Part B Supplier - Pharmacy 9537571005 Practice locations: Floydada, TX

National Provider Directory

National Provider Directory

Locations

200 S Main St
Floydada, TX 79235
Phone (806) 983-5111

Practitioners & affiliated clinicians

Practitioners 3

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": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480896000000",
    "number": "1609955376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S MAIN ST",
            "city": "FLOYDADA",
            "state": "TX",
            "postal_code": "792352726",
            "telephone_number": "806-983-5111",
            "fax_number": "806-983-2819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S MAIN ST",
            "city": "FLOYDADA",
            "state": "TX",
            "postal_code": "792352726",
            "telephone_number": "806-983-5111",
            "fax_number": "806-983-2819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANLEY R OR SHERRIE D PAYNE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2016-12-05",
        "status": "A",
        "authorized_official_last_name": "PAYNE",
        "authorized_official_first_name": "DENICE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "806-983-5111",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "15796",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "144045",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2102375",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PAYNE FAMILY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Floydada, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.