NPIMap

Organization Active NPI

Longhorn Drug Company

  • Community/Retail Pharmacy
  • Kilgore, TX
National Provider Identifier
1669458436
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
D3473 Issued in TX
Legal business name
LONGHORN DRUG COMPANY
Practice address
1711 S Henderson Blvd
Kilgore, TX 75662-3563
Phone
(903) 983-5313
Fax
(903) 984-0923
NPI assigned
Dec 22, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Patricia Long
Title
V.P.
Phone
(386) 698-3737

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X D3473 TX Primary

Addresses

Primary practice location

1711 S Henderson Blvd
Kilgore, TX 75662-3563

Mailing address

1711 S Henderson Blvd
Kilgore, TX 75662-3563
Phone (903) 983-5313

National Provider Directory

National Provider Directory
Tax ID family
Longhorn Drug Company2 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.

Locations

1711 S Henderson Blvd
Kilgore, TX 75662
Phone (903) 758-7261

NPI Registry JSON

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669458436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 S HENDERSON BLVD",
            "city": "KILGORE",
            "state": "TX",
            "postal_code": "756623563",
            "telephone_number": "903-983-5313",
            "fax_number": "903-984-0923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 S HENDERSON BLVD",
            "city": "KILGORE",
            "state": "TX",
            "postal_code": "756623563",
            "telephone_number": "903-983-5313",
            "fax_number": "903-984-0923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONGHORN DRUG COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "V.P.",
        "authorized_official_telephone_number": "386-698-3737",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "D3473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kilgore, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.