Banp Enterprises LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

31302 Issued in TX

Legal business name

BANP ENTERPRISES LLC

Doing business as

Family Pharnacy of Pottsboro

Practice address

563 W FM 120
Pottsboro, TX 75076-9039

Phone

(903) 786-2006

Fax

(903) 786-4542

NPI assigned

Aug 24, 2010

Organization subpart

No

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

Authorized official

Name

Mark Peippo, RPHNPI 1639597206

Title

Owner

Phone

(903) 786-2006

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Family Pharnacy of Pottsboro Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark Frederick Peippo, RPH

  • Pharmacist
  • Pottsboro, TX
  • NPI 1639597206
  NPD Authorized official
• Susan Renee Morrison-Peippo, PHARMD

  • Pharmacist
  • Pottsboro, TX
  • NPI 1356908164
  NPD

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

{
    "created_epoch": "1282608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569801600000",
    "number": "1679889992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "563 W FM 120",
            "city": "POTTSBORO",
            "state": "TX",
            "postal_code": "750769039",
            "telephone_number": "903-786-2006",
            "fax_number": "903-786-4542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "563 W FM 120",
            "city": "POTTSBORO",
            "state": "TX",
            "postal_code": "750769039",
            "telephone_number": "903-786-2006",
            "fax_number": "903-786-4542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BANP ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-24",
        "last_updated": "2019-09-30",
        "status": "A",
        "authorized_official_last_name": "PEIPPO",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-786-2006",
        "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": "31302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148327",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2126449",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Pharnacy of Pottsboro",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Family Pharnacy of Pottsboro",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Pottsboro, TX
• Providers in Pottsboro, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2019; 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.