NPIMap

Organization Active NPI

Kelly G Pratt

Doing business as South Plains Pharmacy

  • Community/Retail Pharmacy
  • Amherst, TX
National Provider Identifier
1871504365
Registry record updated Feb 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
25112 Issued in TX
Legal business name
KELLY G PRATT
Doing business as
South Plains Pharmacy
Practice address
1400 Main St
Amherst, TX 79312
Phone
(806) 246-3683
NPI assigned
Aug 10, 2006
Last updated
Feb 14, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2008

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

Authorized official

Name
Kelly Pratt, RPHNPI 1013945575
Title
Owner
Phone
(806) 385-4491

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 25112 TX Primary

Addresses

Primary practice location

1400 Main St
Amherst, TX 79312

Mailing address

PO Box 670
Amherst, TX 79312-0670
Phone (806) 246-3683

Other identifiers 2

IdentifierTypeStateIssuer
145681MedicaidTX
4594809OtherOTHER ID NUMBER-COMMERCIAL NUMBER

Other names 1

  • SOUTH PLAINS PHARMACY Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202947200000",
    "number": "1871504365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 670",
            "city": "AMHERST",
            "state": "TX",
            "postal_code": "793120670",
            "telephone_number": "806-246-3683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 MAIN ST",
            "city": "AMHERST",
            "state": "TX",
            "postal_code": "79312",
            "telephone_number": "806-246-3683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY G PRATT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2008-02-14",
        "status": "A",
        "authorized_official_last_name": "PRATT",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "806-385-4491",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "25112",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145681",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "4594809",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOUTH PLAINS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Amherst, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2008; 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.