Stagecoach Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

31007 Issued in TX

Legal business name

STAGECOACH PHARMACY

Practice address

587 Main St
Buda, TX 78610-9257

Phone

(512) 746-1888

Fax

(512) 717-5558

NPI assigned

Sep 9, 2016

Organization subpart

No

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

Authorized official

Name

Richard Carracedo

Title

Owner

Phone

(512) 401-7874

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Stagecoach Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1473379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738627200000",
    "number": "1831646645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 DACY LN STE 225",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "786404196",
            "telephone_number": "512-746-1888",
            "fax_number": "512-504-9976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "587 MAIN ST",
            "city": "BUDA",
            "state": "TX",
            "postal_code": "786109257",
            "telephone_number": "512-746-1888",
            "fax_number": "512-717-5558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAGECOACH PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-09",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A",
        "authorized_official_last_name": "CARRACEDO",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-401-7874"
    },
    "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": "31007",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2164162",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stagecoach Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vanessa Spaw, PT, DPT
• Jasmine Spittles, PHARMD
• Gabrielle Stack
• Nicole Stackpole, LPC, R-DMT
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• Emily Swogger, OTR/L

• Community/Retail Pharmacy in Buda, TX
• Providers in Buda, 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 Feb 4, 2025; 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.