Three Rivers Pharmacy, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

THREE RIVERS PHARMACY, LLC

Doing business as

Campbell Drug Store

Practice address

101 W. Thornton
Three Rivers, TX 78071

Phone

(361) 786-3757

Fax

(361) 786-3279

NPI assigned

Oct 19, 2006

Last updated

Mar 8, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Yankton Wyatt, PHARMD

Title

Vice President

Phone

(432) 523-4861

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Campbell Drug Store Doing business as

Tax ID family

Campbell Drug Store2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Three Rivers Pharmacy, LLC

  dba Campbell Drug Store

  • Long Term Care Pharmacy
  • Three Rivers, TX
  • NPI 1598523730
  NPD tax ID

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709856000000",
    "number": "1821170002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 HOSPITAL DR.",
            "city": "ANDREWS",
            "state": "TX",
            "postal_code": "79714",
            "telephone_number": "432-523-4861",
            "fax_number": "432-524-4418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W. THORNTON",
            "city": "THREE RIVERS",
            "state": "TX",
            "postal_code": "78071",
            "telephone_number": "361-786-3757",
            "fax_number": "361-786-3279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THREE RIVERS PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A",
        "authorized_official_last_name": "WYATT",
        "authorized_official_first_name": "YANKTON",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "432-523-4861",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149919",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Campbell Drug Store",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Soliz Physical Therapy PLLC (Momentum Physcial Therapy)
• Dusty D Soliz, P.T.
• Three Rivers Isd
• Three Rivers Nursing Home, LLC
• Three Rivers Pharmacy, LLC (Campbell Drug Store)
• Jordan Alyse Zabransky, FNP-C
• Roselia Zamora-Pollard, NP

• Community/Retail Pharmacy in Three Rivers, TX
• Providers in Three Rivers, 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 Mar 8, 2024; 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.