Organization Active NPI

Luck Enterprises LLC

Doing business as Apothecary Shoppe

  • Compounding Pharmacy
  • Kerrville, TX
National Provider Identifier
1942798095
Registry record updated Apr 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Compounding PharmacyTaxonomy code 3336C0004X
License
31903 Issued in TX
Legal business name
LUCK ENTERPRISES LLC
Doing business as
Apothecary Shoppe
Practice address
1228 Bandera Hwy
Kerrville, TX 78028-9640
Phone
(830) 257-0732
Fax
(830) 257-8486
NPI assigned
Apr 24, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2018

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

Authorized official

Name
Sabrina K Griggs, RPHNPI 1649278060
Title
Pic
Phone
(830) 257-0732

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Compounding Pharmacy 3336C0004X 31903 TX Primary

Addresses

Primary practice location

1228 Bandera Hwy
Kerrville, TX 78028-9640

Mailing address

1228 Bandera Hwy
Kerrville, TX 78028-9640
Phone (830) 257-0732

Other names 1

  • Apothecary Shoppe Doing business as

National Provider Directory

National Provider Directory

Locations

1228 Bandera Hwy
Kerrville, TX 78028
Phone (830) 257-0732

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": "1524528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524528000000",
    "number": "1942798095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1228 BANDERA HWY",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780289640",
            "telephone_number": "830-257-0732",
            "fax_number": "830-257-8486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1228 BANDERA HWY",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780289640",
            "telephone_number": "830-257-0732",
            "fax_number": "830-257-8486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCK ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-24",
        "last_updated": "2018-04-24",
        "status": "A",
        "authorized_official_last_name": "GRIGGS",
        "authorized_official_first_name": "SABRINA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "830-257-0732",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "TX",
            "license": "31903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Apothecary Shoppe",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kerrville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2018; 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.