Organization Active NPI

Cleburne Drug Inc

  • Long Term Care Pharmacy
  • Cleburne, TX
National Provider Identifier
1962251215
Registry record updated May 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
CLEBURNE DRUG INC
Practice address
310 N Ridgeway Dr
Cleburne, TX 76033-5197
Phone
(817) 645-2415
Fax
(817) 645-7176
NPI assigned
May 17, 2024
Last updated
May 17, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
CLEBURNE DRUGAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 17, 2024

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

Authorized official

Name
Mr. Monte Lee Barron, RPH, MBA
Title
Pic/Ceo
Phone
(817) 645-2415

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

310 N Ridgeway Dr
Cleburne, TX 76033-5197

Mailing address

310 N Ridgeway Dr
Cleburne, TX 76033-5197
Phone (817) 645-2415

National Provider Directory

National Provider Directory
Tax ID family
Cleburne Drug Inc2 organizations share this tax ID, including this one
Part of
Cleburne Drug Inc

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1715904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715904000000",
    "number": "1962251215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 N RIDGEWAY DR",
            "city": "CLEBURNE",
            "state": "TX",
            "postal_code": "760335197",
            "telephone_number": "817-645-2415",
            "fax_number": "817-645-7176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 N RIDGEWAY DR",
            "city": "CLEBURNE",
            "state": "TX",
            "postal_code": "760335197",
            "telephone_number": "817-645-2415",
            "fax_number": "817-645-7176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEBURNE DRUG INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CLEBURNE DRUG",
        "enumeration_date": "2024-05-17",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A",
        "authorized_official_last_name": "BARRON",
        "authorized_official_first_name": "MONTE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PIC/CEO",
        "authorized_official_telephone_number": "817-645-2415",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH, MBA"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleburne, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2024; 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.