Organization Active NPI

B-J Pharmacy Inc

  • Community/Retail Pharmacy
  • Wimberley, TX
National Provider Identifier
1801908710
Registry record updated Mar 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
24107 Issued in TX
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

Updated by the provider on Mar 7, 2017

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

Authorized official

Name
John AndersonNPI 1174913453
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
145531MedicaidTX
2096853OtherPK

Other names 1

  • WIMBERLEY PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.