Andrews Prescription Shop LLC
Organization Active NPI Community/Retail Pharmacy · Andrews, TX
NPI 1790760056 · NPPES record last updated Aug 16, 2022
Key facts
- NPI
- 1790760056
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 27623 (TX)
- Legal business name
- ANDREWS PRESCRIPTION SHOP LLC
- Practice address
- 813 Hospital Dr
Andrews, TX 79714-3618 - Phone
- (432) 523-4861
- Fax
- (432) 524-4418
- NPI assigned
- Dec 9, 2005
- Organization subpart
- No
Authorized official
- Name
- Aaron Gibson, RPH
- Title
- Pharmacist in Charge/Owner
- Phone
- (432) 523-4861
Corporate family (same tax ID) 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160822002491 | TX | Part B Supplier - Mass Immunization (Roster Biller Only) | 3375838907 | Practice locations: Andrews, TX |
National Provider Directory
- Tax ID family
- Andrews Prescription Shop LLC
Locations
813 Hospital Dr
#876
Andrews, TX 79714
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 27623 | TX | Yes |
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
813 Hospital Dr
Andrews, TX 79714-3618
Mailing address
813 Hospital Dr
Box 876
Andrews, TX 79714-3618
Phone (432) 523-4861
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2132124 | Other | PK | |
| 148414 | Medicaid | TX |
Other names
- Prescription Shop
Other providers in Andrews, TX
- Andrews County Hospital District
- Andrews County Hospital District
- Andrews County Hospital District
- Andrews Isd
- Andrews Prescription Shop LLC
- Andrews Senior Activity Center Inc
- Basin Pediatric Dentistry
- Basin RX, LLC
- Beth Steinberger PA
- Kirsten Lian Blakeney
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 Aug 16, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.