Buna Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

30634 Issued in TX

Legal business name

BUNA PHARMACY LLC

Doing business as

Buna Family Pharmacy

Practice address

351 TX State Highway 62
Buna, TX 77612-6473

Phone

(409) 994-3535

Fax

(409) 994-4323

NPI assigned

Oct 13, 2006

Last updated

Sep 9, 2021By 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

Trey Haney

Title

Manager

Phone

(409) 769-2406

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Buna Family Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631145600000",
    "number": "1841380219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1948",
            "city": "BUNA",
            "state": "TX",
            "postal_code": "776121948",
            "telephone_number": "409-994-3535",
            "fax_number": "409-994-4323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 TX STATE HIGHWAY 62",
            "city": "BUNA",
            "state": "TX",
            "postal_code": "776126473",
            "telephone_number": "409-994-3535",
            "fax_number": "409-994-4323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUNA PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A",
        "authorized_official_last_name": "HANEY",
        "authorized_official_first_name": "TREY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "409-769-2406"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "30634",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2160672",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149498",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Buna Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community Birth Group
• Khristy Franklin Denin
• Anna Marie Denmon

• Community/Retail Pharmacy in Buna, TX
• Providers in Buna, 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 Sep 9, 2021; 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.