NPIMap

Organization Active NPI

Stratford Hospital District

Doing business as Elk Pharmacy

  • Community/Retail Pharmacy
  • Stratford, TX
National Provider Identifier
1881777076
Registry record updated Feb 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
26133 Issued in TX
Legal business name
STRATFORD HOSPITAL DISTRICT
Doing business as
Elk Pharmacy
Practice address
317 N. Main St.
Stratford, TX 79084
Phone
(806) 366-5505
Fax
(806) 396-2277
NPI assigned
Oct 23, 2006
Last updated
Feb 21, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2017

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

Authorized official

Name
Shelly Worley, PHARMD
Title
Pic/Manager
Phone
(806) 366-5505

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 26133 TX Primary
Long Term Care Pharmacy 3336L0003X
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

317 N. Main St.
Stratford, TX 79084

Mailing address

317 N. Main St.
P.O. Box 166
Stratford, TX 79084
Phone (806) 366-5505

Other identifiers 3

IdentifierTypeStateIssuer
142008MedicaidTX
250482MedicaidTX
2096171OtherPK

Other names 1

  • Elk Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Stratford Hospital District Dba Coronado Healthcare Center39 organizations share this tax ID, including this one

Other organizations with this tax ID 38

Organizations that report the same tax identification number in the National Provider Directory.

View all 38

Locations

317 N Main St
Stratford, TX 79084
Phone (806) 366-0000

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487635200000",
    "number": "1881777076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 N. MAIN ST.",
            "address_2": "P.O. BOX 166",
            "city": "STRATFORD",
            "state": "TX",
            "postal_code": "79084",
            "telephone_number": "806-366-5505",
            "fax_number": "806-396-2277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 N. MAIN ST.",
            "city": "STRATFORD",
            "state": "TX",
            "postal_code": "79084",
            "telephone_number": "806-366-5505",
            "fax_number": "806-396-2277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRATFORD HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2017-02-21",
        "status": "A",
        "authorized_official_last_name": "WORLEY",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_title_or_position": "PIC/MANAGER",
        "authorized_official_telephone_number": "806-366-5505",
        "authorized_official_credential": "PHARMD"
    },
    "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": "26133",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142008",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250482",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2096171",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elk Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stratford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2017; 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.