Organization Active NPI

Trubi1 LLC

Doing business as Medical Arts Pharmacy

  • Community/Retail Pharmacy
  • Kerrville, TX
National Provider Identifier
1790180800
Registry record updated Apr 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
29622 Issued in TX
Legal business name
TRUBI1 LLC
Doing business as
Medical Arts Pharmacy
Practice address
200 Wesley Dr
Unit a Phase 1
Kerrville, TX 78028-5809
Phone
(830) 896-0167
Fax
(830) 315-4711
NPI assigned
Oct 31, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2017

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

Authorized official

Name
Mrs. Trupti Patel
Title
Officer
Phone
(781) 690-3004

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 29622 TX Primary

Addresses

Primary practice location

200 Wesley Dr
Unit a Phase 1
Kerrville, TX 78028-5809

Mailing address

200 Wesley Dr
Unit a Phase 1
Kerrville, TX 78028-5809
Phone (830) 896-0167

Other names 1

  • Medical Arts Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20160725001161 TX DME Supplier - Pharmacy 6800189192 Practice locations: Kerrville, TX
O20181226000882 TX Part B Supplier - Mass Immunization (Roster Biller Only) 6800189192 Practice locations: Kerrville, TX

National Provider Directory

National Provider Directory
Tax ID family
Medical Art 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.

Locations

200 Wesley Dr
Unit A
Kerrville, TX 78028
Phone (830) 896-0167

NPI Registry JSON

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

{
    "created_epoch": "1414713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491955200000",
    "number": "1790180800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 WESLEY DR",
            "address_2": "UNIT A PHASE 1",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780285809",
            "telephone_number": "830-896-0167",
            "fax_number": "830-315-4711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 WESLEY DR",
            "address_2": "UNIT A PHASE 1",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780285809",
            "telephone_number": "830-896-0167",
            "fax_number": "830-315-4711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUBI1 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-31",
        "last_updated": "2017-04-12",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "TRUPTI",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "781-690-3004",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "29622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Arts Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kerrville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.