Jimmy Martin Pharmacy Inc
Organization Active NPI Community/Retail Pharmacy · Andrews, TX
NPI 1770525123 · NPPES record last updated Jan 20, 2010
Key facts
- NPI
- 1770525123
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 3795 (TX)
- Legal business name
- JIMMY MARTIN PHARMACY INC
- Practice address
- 201 NW 1St St
Andrews, TX 79714-6303 - Phone
- (432) 523-2323
- Fax
- (432) 524-6148
- NPI assigned
- Jun 11, 2006
- Organization subpart
- No
Authorized official
- Name
- Jimmy Martin
- Title
- Owner and Pharmacist
- Phone
- (432) 523-2323
National Provider Directory
Locations
201 NW 1st St
Andrews, TX 79714
Phone (432) 523-2323
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 3795 | TX | Yes |
Addresses
Primary practice location
201 NW 1St St
Andrews, TX 79714-6303
Mailing address
201 NW 1St St
Andrews, TX 79714-6303
Phone (432) 523-2323
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4512693 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| 141183 | Medicaid | TX |
Other names
- JONES MCCALL PHARMACY
Other providers in Andrews, TX
- Stacey Hastings
- Vivien Anne Ingram
- Dorothy Faye Jackson
- James W. Browne, M.D., P.a.
- Natver Jariwala
- Eliana Kelley
- Noheul Kim
- Haley Miranda Kress
- Robert Stan Leeper
- Living Country Home Care Services, Inc
All providers in Andrews, TX · Community/Retail Pharmacy in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 20, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.