NPIMap

Organization Active NPI

The Medicine Place Inc 1008 Lamar St Sweetwater TX

  • Community/Retail Pharmacy
  • Sweetwater, TX
National Provider Identifier
1962516955
Registry record updated Aug 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
10620 Issued in TX
Legal business name
THE MEDICINE PLACE INC 1008 LAMAR ST SWEETWATER TX
Practice address
1410 Lamar St
Sweetwater, TX 79556-7124
Phone
(325) 236-6809
Fax
(325) 236-6800
NPI assigned
Aug 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2011

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

Authorized official

Name
Teddy Basye, RPH
Title
President
Phone
(325) 236-6809

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 10620 TX Primary

Addresses

Primary practice location

1410 Lamar St
Sweetwater, TX 79556-7124

Mailing address

1410 Lamar St
Sweetwater, TX 79556-7124
Phone (325) 236-6809

Other identifiers 2

IdentifierTypeStateIssuer
142643MedicaidTX
4566886OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • THE MEDICINE PLACE Doing business as

National Provider Directory

National Provider Directory
Tax ID family
The Medicine Place Inc 1008 Lamar St Sweetwater TX2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1410 Lamar St
Sweetwater, TX 79556
Phone (325) 235-4366

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312761600000",
    "number": "1962516955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 LAMAR ST",
            "city": "SWEETWATER",
            "state": "TX",
            "postal_code": "795567124",
            "telephone_number": "325-236-6809",
            "fax_number": "325-236-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 LAMAR ST",
            "city": "SWEETWATER",
            "state": "TX",
            "postal_code": "795567124",
            "telephone_number": "325-236-6809",
            "fax_number": "325-236-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MEDICINE PLACE INC 1008 LAMAR ST SWEETWATER TX",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2011-08-08",
        "status": "A",
        "authorized_official_last_name": "BASYE",
        "authorized_official_first_name": "TEDDY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "325-236-6809",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "10620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142643",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4566886",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE MEDICINE PLACE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sweetwater, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2011; 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.