Organization Active NPI

D & E Pharmaceutical Services

Doing business as Eagle Pharmacy

  • Community/Retail Pharmacy
  • Holliday, TX
National Provider Identifier
1699311696
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
D & E PHARMACEUTICAL SERVICES
Doing business as
Eagle Pharmacy
Practice address
700 S. College
Holliday, TX 76366
Phone
(940) 583-4376
Fax
(940) 583-4380
NPI assigned
Nov 25, 2019
Last updated
Nov 3, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

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

Authorized official

Name
Dustin Hays, RPHNPI 1376762666
Title
President
Phone
(940) 583-4376

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

700 S. College
Holliday, TX 76366

Mailing address

700 S College Ave Box 684
Holliday, TX 76366-3848
Phone (940) 583-4376

Other names 1

  • Eagle Pharmacy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200326001847 TX Part B Supplier - Pharmacy 7911336946 Practice locations: Holliday, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1574640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698969600000",
    "number": "1699311696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 S COLLEGE AVE BOX 684",
            "city": "HOLLIDAY",
            "state": "TX",
            "postal_code": "763663848",
            "telephone_number": "940-583-4376",
            "fax_number": "940-583-4380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 S. COLLEGE",
            "city": "HOLLIDAY",
            "state": "TX",
            "postal_code": "76366",
            "telephone_number": "940-583-4376",
            "fax_number": "940-583-4380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D & E PHARMACEUTICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-25",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-02",
        "status": "A",
        "authorized_official_last_name": "HAYS",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "940-583-4376",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eagle Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Holliday, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; 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.