James Lynn White

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

12245 Issued in TX

Legal business name

JAMES LYNN WHITE

Practice address

100 SE 17TH Ave
Mineral Wells, TX 76067-5607

Phone

(940) 325-2541

NPI assigned

Jan 14, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Cathy Bohannon, RPH

Title

Pharmacist in Charge

Phone

(940) 325-2541

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Diamond Pharmacy No. 1 Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1168732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218499200000",
    "number": "1821149212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1313",
            "city": "MINERAL WELLS",
            "state": "TX",
            "postal_code": "760681313",
            "telephone_number": "940-325-2541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SE 17TH AVE",
            "city": "MINERAL WELLS",
            "state": "TX",
            "postal_code": "760675607",
            "telephone_number": "940-325-2541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES LYNN WHITE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-14",
        "last_updated": "2008-08-12",
        "status": "A",
        "authorized_official_last_name": "BOHANNON",
        "authorized_official_first_name": "CATHY",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "940-325-2541",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "12245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "143071",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diamond Pharmacy No. 1",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hopper Medical Management Services
• Lori Shae Hopper, FNP
• Judylynn Huggs, MED, LPC
• Deborah Kay Ignacio, LCSW
• James E. Cawley, M.D., P.a.
• Thaddeus Lane Jarrett, D.V.M.
• Julian Hilario Jimenez, MD
• John Edward Lockyer
• Gwendolyn Moore Jones, LPT
• John Jones, MD

• Community/Retail Pharmacy in Mineral Wells, TX
• Providers in Mineral Wells, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.