Organization Active NPI

Palace Drug Store

  • Community/Retail Pharmacy
  • Denver City, TX
National Provider Identifier
1770629875
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
01654 Issued in TX
Legal business name
PALACE DRUG STORE
Practice address
131 N Main Ave
Denver City, TX 79323-3237
Phone
(806) 592-2525
Fax
(806) 592-3958
NPI assigned
Jan 29, 2007
Last updated
Jun 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Authorized official

Name
Everett Hodge
Title
Pharmacist
Phone
(806) 592-2525

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 01654 TX Primary

Addresses

Primary practice location

131 N Main Ave
Denver City, TX 79323-3237

Mailing address

131 N Main Ave
Denver City, TX 79323-3237
Phone (806) 592-2525

National Provider Directory

National Provider Directory

Locations

131 N Main Ave
Denver City, TX 79323
Phone (806) 592-2525

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1770629875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 N MAIN AVE",
            "city": "DENVER CITY",
            "state": "TX",
            "postal_code": "793233237",
            "telephone_number": "806-592-2525",
            "fax_number": "806-592-3958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 N MAIN AVE",
            "city": "DENVER CITY",
            "state": "TX",
            "postal_code": "793233237",
            "telephone_number": "806-592-2525",
            "fax_number": "806-592-3958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALACE DRUG STORE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "HODGE",
        "authorized_official_first_name": "EVERETT",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "806-592-2525"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "01654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.