Eastland Drug Company Incorporated

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

2829 Issued in TX

Legal business name

EASTLAND DRUG COMPANY INCORPORATED

Practice address

805 W Main St
Eastland, TX 76448-2536

Phone

(254) 629-1791

Fax

(254) 629-3177

NPI assigned

Sep 21, 2006

Organization subpart

No

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

Authorized official

Name

Dale Squiers, RPH

Title

Pharmacist and Owner

Phone

(254) 629-1791

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• EASTLAND DRUG CO INC Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Benjamin Carson McNabb, PHARMD

  • Pharmacist
  • Eastland, TX
  • NPI 1992294292
  NPD

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436313600000",
    "number": "1831297878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 W MAIN ST",
            "city": "EASTLAND",
            "state": "TX",
            "postal_code": "764482536",
            "telephone_number": "254-629-1791",
            "fax_number": "254-629-3177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 W MAIN ST",
            "city": "EASTLAND",
            "state": "TX",
            "postal_code": "764482536",
            "telephone_number": "254-629-1791",
            "fax_number": "254-629-3177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTLAND DRUG COMPANY INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2015-07-08",
        "status": "A",
        "authorized_official_last_name": "SQUIERS",
        "authorized_official_first_name": "DALE",
        "authorized_official_title_or_position": "PHARMACIST AND OWNER",
        "authorized_official_telephone_number": "254-629-1791",
        "authorized_official_credential": "RPH"
    },
    "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": "2829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2095819",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4518859",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EASTLAND DRUG CO INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Doc'S Drugstore of Eastland Inc
• Eastland Assisted Living Corporation
• Eastland Chiropractic Wellness Center PA
• Eastland Dental PLLC
• Eastland Dialysis Center, LLC
• Eastland Health Clinic PLLC
• Eastland Independent School District
• Eastland Memorial Hospital District
• Eastland Memorial Hospital District
• Eastland Memorial Hospital District

• All providers in Eastland, TX
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2015; 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.