PSM MSM 102 LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

566 Issued in TX

Legal business name

PSM MSM 102 LLC

Doing business as

Cattles Pharmacy

Practice address

202 N Key Ave
Lampasas, TX 76550-1843

Phone

(512) 556-5141

Fax

(512) 556-5641

NPI assigned

Aug 18, 2006

Last updated

Nov 30, 2023By 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

Rajdeep Parmar, PHARMDNPI 1639435134

Title

Managin Member

Phone

(551) 580-8459

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Cattles Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

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.

• Rajdeep Prakashsinh Parmar, PHARMD

  • Pharmacist
  • Lake Worth, FL
  • NPI 1639435134
  Authorized official Same address or phone
• Christie Atkison

  • Pharmacist
  • Lampasas, TX
  • NPI 1295323152
  NPD
• Jennifer Jeanne Nall, PHARM D

  • Pharmacist
  • Lampasas, TX
  • NPI 1215183462
  NPD (past)

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701302400000",
    "number": "1902910995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 N KEY AVE",
            "city": "LAMPASAS",
            "state": "TX",
            "postal_code": "765501843",
            "telephone_number": "551-580-8459",
            "fax_number": "512-556-5641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 N KEY AVE",
            "city": "LAMPASAS",
            "state": "TX",
            "postal_code": "765501843",
            "telephone_number": "512-556-5141",
            "fax_number": "512-556-5641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSM MSM 102 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2023-11-30",
        "status": "A",
        "authorized_official_last_name": "PARMAR",
        "authorized_official_first_name": "RAJDEEP",
        "authorized_official_title_or_position": "MANAGIN MEMBER",
        "authorized_official_telephone_number": "551-580-8459",
        "authorized_official_credential": "PHARMD"
    },
    "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": "566",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2092488",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "140624",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cattles Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ian W Pace, PHARM.D.
• Lisa Kay Parker, LPC, LMFT-A
• Morris K Patteson Jr., MD
• Linda Porter, OTR
• Ron Ray Porter, LPC
• Julie Ward Purnell, OTR
• Natalie Rene Reeves, L.P.C.
• Regal Nursing and Rehabilitation Center, LLC
• Regal Senior Care LLC (Regal Nursing & Rehabilitation Center)
• Regal SNF LLC (Regal Nursing & Rehabilitation Center)

• Community/Retail Pharmacy in Lampasas, TX
• Providers in Lampasas, 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 30, 2023; 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.