Ozona Pharmacy, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

OZONA PHARMACY, LLC

Doing business as

Village Drug

Practice address

804 11TH St
Ozona, TX 76943

Phone

(325) 392-2666

Fax

(325) 392-2864

NPI assigned

Dec 14, 2006

Last updated

Jul 13, 2023By 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 Sy Wyatt, PHARM.D.

Title

Manager

Phone

(210) 383-5890

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Village Drug 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, and the practitioner matching its NPPES authorized official.

• Richard Glynn Bird, RPH

  • Pharmacist
  • Ozona, TX
  • NPI 1972144574
  NPD (past)

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689206400000",
    "number": "1831251453",
    "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": "797143618",
            "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": "804 11TH ST",
            "city": "OZONA",
            "state": "TX",
            "postal_code": "76943",
            "telephone_number": "325-392-2666",
            "fax_number": "325-392-2864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OZONA PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-06",
        "status": "A",
        "authorized_official_last_name": "WYATT",
        "authorized_official_first_name": "YANKTON",
        "authorized_official_middle_name": "SY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "210-383-5890",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "33280",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150297",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Village Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Helping Hands for the Elderly Inc.
• Camden Hutchinson, DPT
• Robin A Moseley, LPC
• Park Owens, LPC ASSOCIATE
• Ozona Pharmacy, LLC
• Steven M. Sessom, D.D.S
• Shannon Clinic
• Marcus L. Sims, D.O.
• The West Texas Rehabilitation Center
• Westerman Drug of Ozona

• Community/Retail Pharmacy in Ozona, TX
• Providers in Ozona, 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 Jul 13, 2023; 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.