GT Vaughans Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

26948 Issued in TX

Legal business name

GT VAUGHANS PHARMACY LLC

Practice address

200 N Magnolia Ave
Hubbard, TX 76648-2446

Phone

(254) 576-2241

Fax

(254) 576-2496

NPI assigned

Jul 7, 2005

Organization subpart

No

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

Authorized official

Name

Landon SchwartzNPI 1235543307

Title

Store Owner

Phone

(254) 576-2241

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Hubbard City Drug Doing business as

Medicare fee-for-service enrollment

Enrolled in TX2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare medical equipment & supply locations

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Landon Schwartz

  • Pharmacist
  • Hubbard, TX
  • NPI 1235543307
  NPD Authorized official
• Jason Graves

  • Pharmacist
  • Hubbard, TX
  • NPI 1376857300
  NPD (past)
• Clayton Ray Roman, RPH

  • Pharmacist
  • Hubbard, TX
  • NPI 1174951362
  NPD (past)
• Woody Greer Shultz, R.PH.

  • Pharmacist
  • Groesbeck, TX
  • NPI 1164567657
  NPD (past)

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511308800000",
    "number": "1972500759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 295",
            "city": "HUBBARD",
            "state": "TX",
            "postal_code": "766480295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N MAGNOLIA AVE",
            "city": "HUBBARD",
            "state": "TX",
            "postal_code": "766482446",
            "telephone_number": "254-576-2241",
            "fax_number": "254-576-2496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GT VAUGHANS PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2017-11-22",
        "status": "A",
        "authorized_official_last_name": "SCHWARTZ",
        "authorized_official_first_name": "LANDON",
        "authorized_official_title_or_position": "STORE OWNER",
        "authorized_official_telephone_number": "254-576-2241"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "26948",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4523850",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hubbard City Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 164 Counseling Services
• Kara Ashley Bragg, APRN, MSN, FNP-BC
• Stephanie Lynn Ethridge
• Julie Cernosek Freeman, DC
• Jason Graves
• Hubbard Isd
• Hubbard Recovery,LLC
• Mexia Principal Healthcare Limited Partnership
• Melissa Ann Moreno
• Oakview Healthcare Residence LTD.

• Community/Retail Pharmacy in Hubbard, TX
• Providers in Hubbard, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.