Columbus Pharmacy LLC
Organization Active NPI Community/Retail Pharmacy · Columbus, TX
NPI 1679096903 · NPPES record last updated Jul 3, 2025
Key facts
- NPI
- 1679096903
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 31509 (TX)
- Legal business name
- COLUMBUS PHARMACY LLC
- Practice address
- 1206 Fannin St
Columbus, TX 78934-2238 - Phone
- (361) 798-5010
- NPI assigned
- Jul 18, 2017
- Organization subpart
- No
Authorized official
- Name
- Paula H Grahmann, PHARMD
- Title
- President / Owner
- Phone
- (361) 798-5010
Practitioners 1
-
Lori Jobe, PHARMD
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2207661 | Columbus Pharmacy | Certificate of waiver | Dec 29, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20201217001692 | TX | Part B Supplier - Pharmacy | 0345652228 | Practice locations: Columbus, TX |
National Provider Directory
Locations
1206 Fannin St
Columbus, TX 78934
Phone (361) 798-5010
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 31509 | TX | |
| Community/Retail Pharmacy | 3336C0003X | 31509 | TX | Yes |
| Long Term Care Pharmacy | 3336L0003X | 31509 | TX |
Addresses
Primary practice location
1206 Fannin St
Columbus, TX 78934-2238
Mailing address
1206 Fannin St
Columbus, TX 78934-2238
Phone (361) 798-5010
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 149625 | Medicaid | TX |
Other names
- Your Hometown Pharmacy
Other providers in Columbus, TX
- Columbus Community Hospital
- Columbus Eye Associates
- Columbus Isd
- Columbus Nursing and Rehabilitation LP
- Columbus Optical Company, LTD.
- Columbus Urgent Care PA
- Sharin Cordon Hjella
- Country Care Companions LLC
- Carl G W Dahlberg
- Hai P Dang
All providers in Columbus, TX · Community/Retail Pharmacy in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 3, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.