Ak Axen Incorporated

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

11423 Issued in TX

Legal business name

AK AXEN INCORPORATED

Doing business as

Medico Pharmacy

Practice address

213 Hurst St
Center, TX 75935-4321

Phone

(936) 598-7188

Fax

(936) 591-0418

NPI assigned

Jun 13, 2006

Last updated

Mar 1, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Albert Axen, RPHNPI 1699818724

Title

Pic

Phone

(936) 598-7188

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• MEDICO PHARMACY Doing business as

Locations

Practitioners 1

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.

• Albert Auther Axen, RPH

  • Pharmacist
  • Center, TX
  • NPI 1699818724
  NPD (past) Authorized official

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267401600000",
    "number": "1689616492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 HURST ST",
            "city": "CENTER",
            "state": "TX",
            "postal_code": "759354321",
            "telephone_number": "936-598-7188",
            "fax_number": "936-591-0418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 HURST ST",
            "city": "CENTER",
            "state": "TX",
            "postal_code": "759354321",
            "telephone_number": "936-598-7188",
            "fax_number": "936-591-0418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AK AXEN INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-13",
        "last_updated": "2010-03-01",
        "status": "A",
        "authorized_official_last_name": "AXEN",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "936-598-7188",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "11423",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4515649",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "45207",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDICO PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ace Medical Services LLC (Ace EMS)
• Lisa Nicole Adams, MA, LPC-A
• Ajitha Chandramohan, M.D., P.a. (Ajitha Chandramohan)
• Aligned by Axis LLC
• Juliana B. Alindada, M.D
• Lori Alvis
• Sonya Kaye Anthony, OTA
• Asclepion Health Management, PLLC

• Community/Retail Pharmacy in Center, TX
• Providers in Center, 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 Mar 1, 2010; 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.