Longbines Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

6207 Issued in TX

Legal business name

LONGBINES PHARMACY INC

Doing business as

Gail's Pharmacy

Practice address

810 WW Ray Cir
Bridgeport, TX 76426-2061

Phone

(940) 683-4011

Fax

(940) 683-4981

NPI assigned

Jan 3, 2007

Last updated

Nov 9, 2015By 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

Gail Walker, RPH

Title

Owner

Phone

(940) 683-4011

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• GAIL'S PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Longbines Pharmacy Inc

  dba Gail's Pharmacy

  • Long Term Care Pharmacy
  • Bridgeport, TX
  • NPI 1902662620
  NPPES parent name

Practitioners 3

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.

• Edwina G Walker

  • Pharmacist
  • Bridgeport, TX
  • NPI 1134718695
  NPD
• Jeanette Rowe-Thomas, PHARMD

  • Pharmacist
  • Bridgeport, TX
  • NPI 1053900522
  NPD (past)
• Morgan Paige Walker, PHARM.D.

  • Pharmacist
  • Bridgeport, TX
  • NPI 1659888592
  NPD (past)

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447027200000",
    "number": "1881751287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 WW RAY CIR",
            "city": "BRIDGEPORT",
            "state": "TX",
            "postal_code": "764262061",
            "telephone_number": "940-683-4011",
            "fax_number": "940-683-4981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 WW RAY CIR",
            "city": "BRIDGEPORT",
            "state": "TX",
            "postal_code": "764262061",
            "telephone_number": "940-683-4011",
            "fax_number": "940-683-4981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONGBINES PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2015-11-09",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "GAIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "940-683-4011",
        "authorized_official_credential": "RPH"
    },
    "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": "6207",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142136",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2093710",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GAIL'S PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• K&H Dental PA
• William Leonard
• Monica Lee Lewis, PHARM.D.
• Monica Lira, LMT
• Traci Lockhart
• Longbines Pharmacy Inc (Gail's Pharmacy)
• Mauldin Pharmacy Inc (Valu Rite Pharmacy)
• Charles L Mauldin, RPH
• Jacob Mayberry, AS-C
• Timothy W McIntyre, MD

• Community/Retail Pharmacy in Bridgeport, TX
• Providers in Bridgeport, 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 Nov 9, 2015; 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.