Coburns Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

29103 Issued in TX

Legal business name

COBURNS PHARMACY LLC

Doing business as

Coburns Pharmacy

Practice address

101 S Austin St
Bremond, TX 76629-5036

Phone

(254) 746-7845

Fax

(254) 746-7370

NPI assigned

Aug 18, 2006

Last updated

Nov 12, 2021By 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

Jennifer CoburnNPI 1134786411

Title

Owner Pic

Phone

(254) 746-7845

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• COBURNS 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.

• Jennifer Diane Coburn, R.PH.

  • Pharmacist
  • Bremond, TX
  • NPI 1134786411
  NPD Authorized official

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636675200000",
    "number": "1720192719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 160",
            "city": "BREMOND",
            "state": "TX",
            "postal_code": "766290160",
            "telephone_number": "254-746-7845",
            "fax_number": "254-746-7370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S AUSTIN ST",
            "city": "BREMOND",
            "state": "TX",
            "postal_code": "766295036",
            "telephone_number": "254-746-7845",
            "fax_number": "254-746-7370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COBURNS PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2021-11-12",
        "certification_date": "2021-11-12",
        "status": "A",
        "authorized_official_last_name": "COBURN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER PIC",
        "authorized_official_telephone_number": "254-746-7845"
    },
    "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": "29103",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2092653",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145476",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COBURNS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bremond Health Care LLC (Bremond Nursing and Rehabilitation Center)
• Bremond Isd
• Jennifer Diane Coburn, R.PH.
• Chelsea Dunning, PTA
• Falls Community Hospital and Clinic (FCHC Bremond Clinic)
• Mackenzie Lee Fentress, LCSW
• Jill A Harris, OTR
• Dessa Leamon, PTA

• Community/Retail Pharmacy in Bremond, TX
• Providers in Bremond, 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 12, 2021; 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.