Active NPI
B-J Pharmacy Inc
- Community/Retail Pharmacy
- Wimberley, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 24107
- Legal business name
- B-J PHARMACY INC
- Practice address
- 120 Joe Wimberley Blvd
Wimberley, TX 78676-5975 - Phone
- (512) 847-2288
- Fax
- (512) 847-2294
- NPI assigned
- Aug 31, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John Anderson
- Title
- Owner
- Phone
- (512) 847-2288
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 24107 | TX | Primary |
| Compounding Pharmacy | 3336C0004X |
Addresses
Primary practice location
120 Joe Wimberley Blvd
Wimberley, TX 78676-5975
Mailing address
120 Joe Wimberley Blvd
Wimberley, TX 78676-5975
Phone (512) 847-2288
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 145531 | Medicaid | TX | |
| 2096853 | Other | PK |
Other names 1
- WIMBERLEY PHARMACY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111121000333 | TX | Part B Supplier - Mass Immunization (Roster Biller Only) | 7416134440 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Wimberley, TX; San Marcos, TX |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryLocations
120 Joe Wimberley Blvd
Wimberley, TX 78676
Phone (512) 847-2288
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Wimberley, TX
- NPI 1174913453
-
- Pharmacist
- Wimberley, TX
- NPI 1548355373
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1488844800000",
"number": "1801908710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 JOE WIMBERLEY BLVD",
"city": "WIMBERLEY",
"state": "TX",
"postal_code": "786765975",
"telephone_number": "512-847-2288",
"fax_number": "512-847-2294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 JOE WIMBERLEY BLVD",
"city": "WIMBERLEY",
"state": "TX",
"postal_code": "786765975",
"telephone_number": "512-847-2288",
"fax_number": "512-847-2294"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "B-J PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-31",
"last_updated": "2017-03-07",
"status": "A",
"authorized_official_last_name": "ANDERSON",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "512-847-2288"
},
"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": "24107",
"primary": true
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "145531",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2096853",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "WIMBERLEY PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Wimberley, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.