Txex Med LLC

Primary specialty

PharmacyTaxonomy code 333600000X

License

28451 Issued in TX

Legal business name

TXEX MED LLC

Doing business as

Johnson City Pharmacy

Practice address

405 Hwy 281 South
Johnson City, TX 78636

Phone

(830) 868-7185

Fax

(830) 868-7183

NPI assigned

Jul 14, 2009

Organization subpart

No

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

Authorized official

Name

Phil Lietz, RPH

Title

Pharmacist/Owner

Phone

(830) 868-7185

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Johnson City Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Phillip E Lietz, R.PH.

  • Pharmacist
  • Fredericksburg, TX
  • NPI 1043524150
  NPD

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

{
    "created_epoch": "1247529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471478400000",
    "number": "1801026638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 433",
            "city": "JOHNSON CITY",
            "state": "TX",
            "postal_code": "786360433",
            "telephone_number": "830-868-7185",
            "fax_number": "830-868-7183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 HWY 281 SOUTH",
            "city": "JOHNSON CITY",
            "state": "TX",
            "postal_code": "78636",
            "telephone_number": "830-868-7185",
            "fax_number": "830-868-7183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TXEX MED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-14",
        "last_updated": "2016-08-18",
        "status": "A",
        "authorized_official_last_name": "LIETZ",
        "authorized_official_first_name": "PHIL",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "830-868-7185",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "TX",
            "license": "28451",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2140036",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Johnson City Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brandi Phenix, MS, CCC-SLP
• R. L. Toms, Inc. (LBJ Medical Center)
• Scott & White Hospital - Marble Falls (Baylor Scott & White Clinic - Johnson City)
• Dan G. Severa, M.D.
• Kasey Smith, MA, LPC
• John Dudley Weaver, MD
• David Allan White, DDS

• Pharmacy in Johnson City, TX
• Providers in Johnson City, TX by specialty
• Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2016; 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.