Bandera Drug, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

30261 Issued in TX

Legal business name

BANDERA DRUG, LLC

Practice address

1100 Mulberry Street
Bandera, TX 78003

Phone

(830) 796-3111

Fax

(830) 796-3115

NPI assigned

Oct 23, 2015

Last updated

Oct 20, 2026By 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

Jalpa Patel

Title

Owner

Phone

(830) 796-3111

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 1

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.

• Wayne Antenen, R PH

  • Pharmacist
  • New Braunfels, TX
  • NPI 1669506838
  NPD

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

{
    "created_epoch": "1445558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792454400000",
    "number": "1922470483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2280",
            "city": "BANDERA",
            "state": "TX",
            "postal_code": "780032280",
            "telephone_number": "830-796-3111",
            "fax_number": "830-796-3115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 MULBERRY STREET",
            "city": "BANDERA",
            "state": "TX",
            "postal_code": "78003",
            "telephone_number": "830-796-3111",
            "fax_number": "830-796-3115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BANDERA DRUG, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-23",
        "last_updated": "2026-10-20",
        "certification_date": "2026-10-20",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "JALPA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "830-796-3111"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "30261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas T Allen, D.P.T
• Tamara Joanne Alms-Chapa, LCSW
• Cynthia Ann Anderson, MED, LPC, CSC
• Kirsten Brooke Awalt
• Bandera County
• Bandera Elite Holdings, Inc (Cedar Creek Nursing and Rehabilitation Center)
• Bandera Eye Care PLLC
• Bandera Eye Goods, PA (Bandera Eye Goods)
• Bandera Healthcare and Rehabilitation Center, LLC (Bandera Rehabilitation and Health Care Center)
• Bandera I Enterprises, LLC (Cedar Creek Nursing and Rehabilitation Center)

• Community/Retail Pharmacy in Bandera, TX
• Providers in Bandera, 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 Oct 20, 2026; 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.