Organization Active NPI

Palace Drug Company

  • Community/Retail Pharmacy
  • Rising Star, TX
National Provider Identifier
1760602080
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
18920 Issued in TX
Legal business name
PALACE DRUG COMPANY
Practice address
100 N Main
Rising Star, TX 76471
Phone
(254) 643-3231
NPI assigned
Apr 27, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Miss Cindy Jewell Holden
Title
Owner
Phone
(254) 643-3231

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 18920 TX Primary

Addresses

Primary practice location

100 N Main
Rising Star, TX 76471

Mailing address

100 N Main
Rising Star, TX 76471
Phone (254) 643-3231

Other identifiers 1

IdentifierTypeStateIssuer
144733MedicaidTX

National Provider Directory

National Provider Directory

Locations

100 N Main St
Rising Star, TX 76471
Phone (254) 643-3231

NPI Registry JSON

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

{
    "created_epoch": "1177632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760602080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N MAIN",
            "city": "RISING STAR",
            "state": "TX",
            "postal_code": "76471",
            "telephone_number": "254-643-3231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N MAIN",
            "city": "RISING STAR",
            "state": "TX",
            "postal_code": "76471",
            "telephone_number": "254-643-3231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALACE DRUG COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOLDEN",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "JEWELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "254-643-3231",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "18920",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "144733",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rising Star, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.