Centex Pharmacies Incorporated

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

03273 Issued in TX

Legal business name

CENTEX PHARMACIES INCORPORATED

Doing business as

Gus's Drug Store

Practice address

702 E University Ave
Georgetown, TX 78626-7036

Phone

(512) 863-2506

Fax

(512) 863-2508

NPI assigned

Aug 31, 2006

Last updated

Feb 5, 2025By 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

Mark Bradley

Title

Director

Phone

(512) 863-2506

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Gus's Drug Store Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

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.

• Melanie Anne Chang

  • Pharmacist
  • Georgetown, TX
  • NPI 1750937983
  NPD (past)
• Kim Le, PHARM D.

  • Pharmacist
  • Georgetown, TX
  • NPI 1841538931
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738713600000",
    "number": "1730291642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 E UNIVERSITY AVE",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786267036",
            "telephone_number": "512-863-2506",
            "fax_number": "512-863-2508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 E UNIVERSITY AVE",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786267036",
            "telephone_number": "512-863-2506",
            "fax_number": "512-863-2508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTEX PHARMACIES INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A",
        "authorized_official_last_name": "BRADLEY",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "512-863-2506"
    },
    "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": "03273",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2127998",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gus's Drug Store",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James Edwin Cearnal Jr., BC-HIS
• Kevin Ceballos
• Ceces Heart Home Care LLC
• Heather Doreen-Scott Celkis, BS
• Centex Pharmacies Inc (Gus's Drug)
• Centexos, PLLC
• Central Texas Anesthesia Partners PLLC
• Central Texas EMS, LLC (Central Texas Regional EMS)
• Central Texas Foot Specialist PA
• Central Texas Pain Center, PLLC

• Community/Retail Pharmacy in Georgetown, TX
• Providers in Georgetown, 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 Feb 5, 2025; 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.