Active NPI
Medicine Stop Inc
- Community/Retail Pharmacy
- Kerrville, TX
National Provider Identifier
1720009780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 15881
- Legal business name
- MEDICINE STOP INC
- Practice address
- 1000 Main St
Kerrville, TX 78028-3507 - Phone
- (830) 896-7440
- Fax
- (830) 896-2221
- NPI assigned
- Jul 22, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jaelin Proffit, RPH
- Title
- Director of Operations
- Phone
- (830) 896-7440
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 15881 | TX | Primary |
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
1000 Main St
Kerrville, TX 78028-3507
Mailing address
1000 Main St
Kerrville, TX 78028-3565
Phone (830) 896-7440
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 148111 | Medicaid | TX | |
| 2100398 | Other | PK |
Other names 1
- THE MEDICINE STOP
National Provider Directory
National Provider DirectoryLocations
1000 Main St
Kerrville, TX 78028
Phone (830) 896-7440
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Kerrville, TX
- NPI 1962048587
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153526400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1724198400000",
"number": "1720009780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 MAIN ST",
"city": "KERRVILLE",
"state": "TX",
"postal_code": "780283565",
"telephone_number": "830-896-7440",
"fax_number": "830-896-2221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 MAIN ST",
"city": "KERRVILLE",
"state": "TX",
"postal_code": "780283507",
"telephone_number": "830-896-7440",
"fax_number": "830-896-2221"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICINE STOP INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-22",
"last_updated": "2024-08-21",
"certification_date": "2024-08-21",
"status": "A",
"authorized_official_last_name": "PROFFIT",
"authorized_official_first_name": "JAELIN",
"authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
"authorized_official_telephone_number": "830-896-7440",
"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": "15881",
"primary": true
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "148111",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2100398",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "THE MEDICINE STOP",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "THE MEDICINE STOP",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Kerrville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.