Organization Active NPI

Bear'S Compounding Pharmacy LLC

  • Community/Retail Pharmacy
  • Georgetown, TX
National Provider Identifier
1770154486
Registry record updated Nov 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
BEAR'S COMPOUNDING PHARMACY LLC
Practice address
109 W 7TH St Ste 115
Georgetown, TX 78626-5720
Phone
(512) 807-0622
Fax
(512) 843-7255
NPI assigned
Jul 3, 2021
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Lorin Martin, PHARMDNPI 1205690344
Title
Pharmacist in Charge
Phone
(512) 807-0622

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory
Tax ID family
Bear'S Compounding Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

NPPES NPI Registry

Primary practice location

109 W 7TH St Ste 115
Georgetown, TX 78626-5720

Mailing address

109 W 7TH St Ste 115
Georgetown, TX 78626-5720
Phone (512) 807-0622

Other names 1

NPPES NPI Registry
  • Bear's Compounding Pharmacy Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 28, 2021.

{
    "created_epoch": "1625270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638057600000",
    "number": "1770154486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 W 7TH ST STE 115",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786265720",
            "telephone_number": "512-807-0622",
            "fax_number": "512-843-7255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 W 7TH ST STE 115",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786265720",
            "telephone_number": "512-807-0622",
            "fax_number": "512-843-7255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAR'S COMPOUNDING PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-03",
        "last_updated": "2021-11-28",
        "certification_date": "2021-11-28",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "LORIN",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "512-807-0622",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bear's Compounding Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bear's Compounding Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Georgetown, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.