Agp Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

29529 Issued in TX

Legal business name

AGP PHARMACY LLC

Practice address

309 N Main St
Lockney, TX 79241-0277

Phone

(806) 652-3353

Fax

(806) 652-2118

NPI assigned

Aug 19, 2006

Organization subpart

No

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

Authorized official

Name

Alisa Peters, RPH

Title

Owner

Phone

(806) 296-9000

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Hometown Pharmacy Doing business as

Tax ID family

Agp Pharmacy LLC2 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.

• Agp Pharmacy LLC

  • Community/Retail Pharmacy
  • Silverton, TX
  • NPI 1427558386
  NPD tax ID

Locations

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555459200000",
    "number": "1770697237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 OLTON RD STE B",
            "city": "PLAINVIEW",
            "state": "TX",
            "postal_code": "790726653",
            "telephone_number": "806-296-9000",
            "fax_number": "806-296-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 N MAIN ST",
            "city": "LOCKNEY",
            "state": "TX",
            "postal_code": "792410277",
            "telephone_number": "806-652-3353",
            "fax_number": "806-652-2118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGP PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2019-04-17",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "ALISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "806-296-9000",
        "authorized_official_credential": "RPH"
    },
    "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": "29529",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148196",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hometown Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hometown Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Edward George Alston
• John Benjamin Benacci, MD
• Childress County Hospital District
• City of Lockney
• Danny Lynn Clark, R.PH.

• All providers in Lockney, TX
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2019; 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.