Medi-Drive Pharmacy LLC

Primary specialty

PharmacyTaxonomy code 333600000X

License

31118 Issued in TX

Legal business name

MEDI-DRIVE PHARMACY LLC

Practice address

507 23Rd St
Canyon, TX 79015-4043

Phone

(806) 655-1024

Fax

(806) 655-9762

NPI assigned

Jan 4, 2008

Last updated

Oct 31, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Angela Klaire Bazaldua, PHARM.D.NPI 1659718971

Title

Pic

Phone

(806) 655-1024

Specialties & licenses 3

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Angela Klaire Bazaldua, PHARM.D.

  • Geriatric Pharmacist
  • Canyon, TX
  • NPI 1659718971
  NPD Authorized official
• Rodney A Demoss, RPH

  • Pharmacist
  • Canyon, TX
  • NPI 1922097518
  NPD (past)

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

{
    "created_epoch": "1199404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761868800000",
    "number": "1962687251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 23RD ST",
            "city": "CANYON",
            "state": "TX",
            "postal_code": "790154043",
            "telephone_number": "806-655-1024",
            "fax_number": "806-655-9762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 23RD ST",
            "city": "CANYON",
            "state": "TX",
            "postal_code": "790154043",
            "telephone_number": "806-655-1024",
            "fax_number": "806-655-9762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDI-DRIVE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-04",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-31",
        "status": "A",
        "authorized_official_last_name": "BAZALDUA",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "KLAIRE",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "806-655-1024",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "TX",
            "license": "31118",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2162163",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Renee Marie
• Tori I Marnell, MD
• Candy C Marshall, CFNP
• Regina Mata-Elizalde, BCBA
• Lawrence R McAfee, MD
• Brenna Melugin, APRN- FNP-BC
• Crystal Renee Morales, LPC
• Dana Nicole Morrison, LMSW
• Janet Munzinger, RDH
• Joel Muth

• Pharmacy in Canyon, TX
• Providers in Canyon, TX by specialty
• Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.