Epoch Pharmacy Solutions Sante Fe Medicine Man Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

26474 Issued in TX

Legal business name

EPOCH PHARMACY SOLUTIONS SANTE FE MEDICINE MAN PHARMACY

Doing business as

Medicine Man Pharmacy

Practice address

13250 Highway 6
Santa Fe, TX 77510-7682

Phone

(409) 927-1979

Fax

(409) 925-7170

NPI assigned

May 27, 2009

Organization subpart

No

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

Authorized official

Name

Bruce Rogers

Title

Owner/Manager

Phone

(361) 894-6430

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• Medicine Man Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1243382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455494400000",
    "number": "1932334588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3670",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779033670",
            "telephone_number": "361-894-6430",
            "fax_number": "361-894-6431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13250 HIGHWAY 6",
            "city": "SANTA FE",
            "state": "TX",
            "postal_code": "775107682",
            "telephone_number": "409-927-1979",
            "fax_number": "409-925-7170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPOCH PHARMACY SOLUTIONS SANTE FE MEDICINE MAN PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-27",
        "last_updated": "2016-02-15",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "361-894-6430"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "26474",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146015",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2120311",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medicine Man Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Valeria Cano
• Eloise Catrett, RN ACNP-BC
• CVS Pharmacy, Inc. (CVS Pharmacy #03234)
• Ana E. Davis, NP
• Madisen Devries
• Robin Ertell, LVN
• Crystal Dawn Fewox, FNP-C
• Dwayne Michael Fontenot, D.D.S.
• Fragile Wings Angels in Waiting
• Mercedes Gable

• Community/Retail Pharmacy in Santa Fe, TX
• Providers in Santa Fe, 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 Feb 15, 2016; 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.