Aggieland Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

AGGIELAND PHARMACY LLC

Practice address

3601 E 29TH St Ste 14
Bryan, TX 77802-3815

Phone

(979) 803-0036

NPI assigned

Dec 21, 2021

Last updated

Nov 18, 2022By 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

Mr. Bryan Salas, PHARMACY THECHNICIAN

Title

Owner

Phone

(979) 803-0036

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1640044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668729600000",
    "number": "1699435339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 E 29TH ST STE 14",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778023815",
            "telephone_number": "979-803-0036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 E 29TH ST STE 14",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778023815",
            "telephone_number": "979-803-0036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGGIELAND PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-21",
        "last_updated": "2022-11-18",
        "certification_date": "2022-11-18",
        "status": "A",
        "authorized_official_last_name": "SALAS",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "979-803-0036",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARMACY THECHNICIAN"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Retail Pharmacy in Bryan, TX
• Providers in Bryan, 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 Nov 18, 2022; 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.