Organization Active NPI

L & B Drug Inc

  • Pharmacy
  • Abilene, TX
National Provider Identifier
1912068776
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
13385 Issued in TX
Legal business name
L & B DRUG INC
Practice address
701 Hickory St
Abilene, TX 79601-5005
Phone
(325) 677-9191
Fax
(325) 677-7203
NPI assigned
Dec 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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

Authorized official

Name
Jordan Dwayne Talley, PHARMDNPI 1952998577
Title
President
Phone
(325) 677-9191

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Oxygen Equipment & Supplies (DME) 332BX2000X
Pharmacy 333600000X 13385 TX Primary
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

701 Hickory St
Abilene, TX 79601-5005

Mailing address

PO Box 2855
701 Hickory Street
Abilene, TX 79604
Phone (325) 677-9191

Other identifiers 3

IdentifierTypeStateIssuer
13385OtherTXSTATE BOARD LICENSE NUMBER
149244MedicaidTX
4557914OtherNCPDP

Other names 1

  • Barnes & Williams Drug Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100119000314 TX Part B Supplier - Mass Immunization (Roster Biller Only) 3678615374 Practice locations: Abilene, TX
O20100930078093 TX DME Supplier - Pharmacy 3678615374 Practice locations: Abilene, TX

National Provider Directory

National Provider Directory
Tax ID family
Abilene Nuclear LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

701 Hickory St
Abilene, TX 79601
Phone (325) 677-9191

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718064000000",
    "number": "1912068776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2855",
            "address_2": "701 HICKORY STREET",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "79604",
            "telephone_number": "325-677-9191",
            "fax_number": "325-677-7203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 HICKORY ST",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796015005",
            "telephone_number": "325-677-9191",
            "fax_number": "325-677-7203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L & B DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A",
        "authorized_official_last_name": "TALLEY",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_middle_name": "DWAYNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "325-677-9191",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "TX",
            "license": "13385",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE BOARD LICENSE NUMBER",
            "identifier": "13385",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149244",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "4557914",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Barnes & Williams Drug Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Barnes & Williams Drug Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Abilene, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; 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.