Active NPI
South Carolina Erica, Inc.
Doing business as Food Basket Pharmacy #4
- Pharmacist
- Alpine, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 21326
- Legal business name
- SOUTH CAROLINA ERICA, INC.
- Doing business as
- Food Basket Pharmacy #4
- Practice address
- 104 N 2ND St
Alpine, TX 79830-4702 - Phone
- (432) 837-1994
- Fax
- (432) 837-2235
- NPI assigned
- Jan 16, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Linda Joyce Roe, RPH
- Title
- Director, RX Service
- Phone
- (325) 658-6551
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 21326 | TX | Primary |
Addresses
Primary practice location
104 N 2ND St
Alpine, TX 79830-4702
Mailing address
104 N 2ND St
Alpine, TX 79830-4702
Phone (432) 837-1994
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 145114 | Medicaid | TX |
Other names 1
- Food Basket Pharmacy #4
National Provider Directory
National Provider Directory- Tax ID family
- Food Basket Pharmacy 4
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
Locations
104 N 2nd St
Alpine, TX 79830
Phone (432) 837-1994
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.
-
- Pharmacist
- San Angelo, TX
- NPI 1861576969
-
- Pharmacist
- Alpine, TX
- NPI 1225166622
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1891846879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 N 2ND ST",
"city": "ALPINE",
"state": "TX",
"postal_code": "798304702",
"telephone_number": "432-837-1994",
"fax_number": "432-837-2235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 N 2ND ST",
"city": "ALPINE",
"state": "TX",
"postal_code": "798304702",
"telephone_number": "432-837-1994",
"fax_number": "432-837-2235"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTH CAROLINA ERICA, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-16",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ROE",
"authorized_official_first_name": "LINDA",
"authorized_official_middle_name": "JOYCE",
"authorized_official_title_or_position": "DIRECTOR, RX SERVICE",
"authorized_official_telephone_number": "325-658-6551",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "21326",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "145114",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Food Basket Pharmacy #4",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Alpine, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.