Organization Active NPI

Wilcox Drug Store Inc

Doing business as Wilcox Drug Store

  • Community/Retail Pharmacy
  • Anahuac, TX
National Provider Identifier
1881781763
Registry record updated Jun 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5131 Issued in TX
Legal business name
WILCOX DRUG STORE INC
Doing business as
Wilcox Drug Store
Practice address
1208 Miller St
Anahuac, TX 77514-0220
Phone
(409) 267-6141
Fax
(409) 267-4292
NPI assigned
Oct 10, 2006
Last updated
Jun 4, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2025

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

Authorized official

Name
Dave Wilcox, RPHNPI 1013506070
Title
VP Pic
Phone
(409) 267-6141

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 5131 TX Primary

Addresses

Primary practice location

1208 Miller St
Anahuac, TX 77514-0220

Mailing address

PO Box 220
Anahuac, TX 77514-0220

Other identifiers 2

IdentifierTypeStateIssuer
141832MedicaidTX
2093350OtherPK

Other names 1

  • Wilcox Drug Store Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748995200000",
    "number": "1881781763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 220",
            "city": "ANAHUAC",
            "state": "TX",
            "postal_code": "775140220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 MILLER ST",
            "city": "ANAHUAC",
            "state": "TX",
            "postal_code": "775140220",
            "telephone_number": "409-267-6141",
            "fax_number": "409-267-4292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILCOX DRUG STORE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A",
        "authorized_official_last_name": "WILCOX",
        "authorized_official_first_name": "DAVE",
        "authorized_official_title_or_position": "VP PIC",
        "authorized_official_telephone_number": "409-267-6141",
        "authorized_official_credential": "RPH"
    },
    "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": "5131",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "141832",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2093350",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wilcox Drug Store",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Anahuac, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2025; 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.