Organization Active NPI

S&R Drug Company

Doing business as S and R Pharmacy

  • Community/Retail Pharmacy
  • Kirbyville, TX
National Provider Identifier
1881706794
Registry record updated Jun 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
25171 Issued in TX
Legal business name
S&R DRUG COMPANY
Doing business as
S and R Pharmacy
Practice address
1606 S Margaret Ave
Kirbyville, TX 75956-2633
Phone
(409) 423-2215
Fax
(409) 423-2267
NPI assigned
Aug 31, 2006
Last updated
Jun 15, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2020

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

Authorized official

Name
Chad E Wiggins, PHARMACISTNPI 1194328039
Title
Owner/Pic
Phone
(409) 423-2215

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 25171 TX Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

1606 S Margaret Ave
Kirbyville, TX 75956-2633

Mailing address

1606 S Margaret Ave
Kirbyville, TX 75956-2633
Phone (409) 423-2215

Other identifiers 3

IdentifierTypeStateIssuer
2103251OtherPK
148292MedicaidTX
145759MedicaidTX

Other names 1

  • S AND R PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070607000098 TX Part B Supplier - Mass Immunization (Roster Biller Only) 2668570177 Practice locations: Kirbyville, TX
O20100930022013 TX DME Supplier - PharmacyDME Supplier - Medical Supply CompanyDME Supplier - Medical Supply Company With Registered Pharmacist 2668570177 Practice locations: Kirbyville, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0933744S & R Drug Co Inc Dba1606 South Margaret, Kirbyville, TX 75956Certificate of waiverSep 21, 2027

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
S & R Drug Co1606 S Margaret Ave, Kirbyville, TX 75956-2633(409) 423-2215 Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Jan 1, 2013

National Provider Directory

National Provider Directory

Locations

1606 S Margaret Ave
Kirbyville, TX 75956
Phone (409) 423-2215

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": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592179200000",
    "number": "1881706794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1606 S MARGARET AVE",
            "city": "KIRBYVILLE",
            "state": "TX",
            "postal_code": "759562633",
            "telephone_number": "409-423-2215",
            "fax_number": "409-423-2267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1606 S MARGARET AVE",
            "city": "KIRBYVILLE",
            "state": "TX",
            "postal_code": "759562633",
            "telephone_number": "409-423-2215",
            "fax_number": "409-423-2267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S&R DRUG COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-06-15",
        "certification_date": "2020-06-15",
        "status": "A",
        "authorized_official_last_name": "WIGGINS",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/PIC",
        "authorized_official_telephone_number": "409-423-2215",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "25171",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2103251",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148292",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145759",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "S AND R PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "S AND R PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kirbyville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.