Port Aransas Pharmacy, L.C.

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

License

23841 Issued in TX

Legal business name

PORT ARANSAS PHARMACY, L.C.

Doing business as

Port Aransas Pharmacy

Practice address

2131 State Highway 361
Port Aransas, TX 78373-4801

Phone

(361) 749-1725

NPI assigned

Dec 16, 2005

Organization subpart

No

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

Authorized official

Name

John Stogner

Title

Cfo

Phone

(903) 893-0677

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• Port Aransas Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1134691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1942286471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2407",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750912407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2131 STATE HIGHWAY 361",
            "city": "PORT ARANSAS",
            "state": "TX",
            "postal_code": "783734801",
            "telephone_number": "361-749-1725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORT ARANSAS PHARMACY, L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-16",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "STOGNER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "903-893-0677"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "23841",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "TX",
            "license": "23841",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "23841",
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "TX",
            "license": "23841",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1736738",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145480",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Port Aransas Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Bentley Kidd, M.D.
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• Lisa L Wimberley, PA
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• Compounding Pharmacy in Port Aransas, TX
• Providers in Port Aransas, TX by specialty
• Compounding Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.