Organization Active NPI

Steven a. Branch

  • Community/Retail Pharmacy
  • Port Lavaca, TX
National Provider Identifier
1699704478
Registry record updated Nov 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
STEVEN A. BRANCH
Practice address
1202 N Virginia St
Port Lavaca, TX 77979-2507
Phone
(361) 552-2999
Fax
(361) 552-1566
NPI assigned
Jul 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2007

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

Authorized official

Name
Steve Branch, R PH
Title
Owner
Phone
(361) 552-2999

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

1202 N Virginia St
Port Lavaca, TX 77979-2507

Mailing address

1202 N Virginia St
Port Lavaca, TX 77979-2507
Phone (361) 552-2999

National Provider Directory

National Provider Directory

Locations

1202 N Virginia St
Port Lavaca, TX 77979
Phone (361) 482-0345

NPI Registry JSON

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194566400000",
    "number": "1699704478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 N VIRGINIA ST",
            "city": "PORT LAVACA",
            "state": "TX",
            "postal_code": "779792507",
            "telephone_number": "361-552-2999",
            "fax_number": "361-552-1566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 N VIRGINIA ST",
            "city": "PORT LAVACA",
            "state": "TX",
            "postal_code": "779792507",
            "telephone_number": "361-552-2999",
            "fax_number": "361-552-1566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN A. BRANCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2007-11-09",
        "status": "A",
        "authorized_official_last_name": "BRANCH",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "361-552-2999",
        "authorized_official_credential": "R PH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Lavaca, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2007; 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.