Kerrville Drug Co., Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

04925 Issued in TX

Legal business name

KERRVILLE DRUG CO., INC

Practice address

1050 Junction Hwy
Kerrville, TX 78028-4902

Phone

(830) 895-2273

Fax

(830) 895-2769

NPI assigned

Aug 19, 2005

Organization subpart

No

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

Authorized official

Name

Melissa Lynn SchmidtNPI 1508193756

Title

VP/Pic

Phone

(830) 895-3784

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Kerrville Drug Co. Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 2

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

• Melissa Lynn Schmidt, PHARM.D

  • Pharmacist
  • Kerrville, TX
  • NPI 1508193756
  NPD Authorized official
• Ingrid Lara Kincaid

  • Pharmacist
  • Kerrville, TX
  • NPI 1356997712
  NPD

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

{
    "created_epoch": "1124409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709769600000",
    "number": "1972595486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 JUNCTION HWY",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780284902",
            "telephone_number": "830-895-3784",
            "fax_number": "830-895-4412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 JUNCTION HWY",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780284902",
            "telephone_number": "830-895-2273",
            "fax_number": "830-895-2769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERRVILLE DRUG CO., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-19",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A",
        "authorized_official_last_name": "SCHMIDT",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "VP/PIC",
        "authorized_official_telephone_number": "830-895-3784"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "04925",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150547",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP NUMBER",
            "identifier": "4524624",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kerrville Drug Co.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kerrville Ambulatory Surgery Center, LLC
• Kerrville Cancer Center LTD
• Kerrville Cancer Center PLLC
• Kerrville Cardiovascular Center
• Kerrville Drug Co., Inc
• Kerrville Eye Center PA
• Kerrville Healthcare Operations LLC
• Kerrville Imaging LLC
• Kerrville Independent School District
• Kerrville Mec, LP

• Community/Retail Pharmacy in Kerrville, TX
• Providers in Kerrville, 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 Mar 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.