Organization Active NPI

Bayer Pharmacy Inc

  • Community/Retail Pharmacy
  • Smithville, TX
National Provider Identifier
1790864460
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
05672 Issued in TX
Legal business name
BAYER PHARMACY INC
Practice address
219 Main St
Smithville, TX 78957-1839
Phone
(512) 237-2211
Fax
(512) 237-3202
NPI assigned
Nov 3, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Gary Bayer, RPH
Title
Pres
Phone
(512) 237-2211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 05672 TX Primary

Addresses

Primary practice location

219 Main St
Smithville, TX 78957-1839

Mailing address

219 Main St
Smithville, TX 78957-1839

Other identifiers 2

IdentifierTypeStateIssuer
141209MedicaidTX
4557837OtherOTHER ID NUMBER-COMMERCIAL NUMBER

National Provider Directory

National Provider Directory

Locations

219 Main St
Smithville, TX 78957
Phone (512) 237-2211

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790864460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 MAIN ST",
            "city": "SMITHVILLE",
            "state": "TX",
            "postal_code": "789571839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 MAIN ST",
            "city": "SMITHVILLE",
            "state": "TX",
            "postal_code": "789571839",
            "telephone_number": "512-237-2211",
            "fax_number": "512-237-3202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYER PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAYER",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "512-237-2211",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "05672",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "141209",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "4557837",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.