Active NPI
John Stephen Menard, R.PH.
- Pharmacist
- Waco, TX
National Provider Identifier
1972614360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 27237
- Practice address
- 2401 E Waco Dr
Waco, TX 76705-3259 - Phone
- (254) 799-4949
- Fax
- (254) 867-0243
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 27237 | TX | Primary |
Addresses
Primary practice location
2401 E Waco Dr
Waco, TX 76705-3259
Mailing address
102 Laurel Oaks LN
Crawford, TX 76638-2767
Phone (254) 848-4883
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27237 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lynn'S la Vega Pharmacy, Inc | Past | Accepting new patients | |
| Lynns la Vega Pharmacy Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Long Term Care Pharmacy
- Waco, TX
- NPI 1194201178
-
- Community/Retail Pharmacy
- Waco, TX
- NPI 1558475541
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1972614360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 LAUREL OAKS LN",
"city": "CRAWFORD",
"state": "TX",
"postal_code": "766382767",
"telephone_number": "254-848-4883",
"fax_number": "254-867-0243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2401 E WACO DR",
"city": "WACO",
"state": "TX",
"postal_code": "767053259",
"telephone_number": "254-799-4949",
"fax_number": "254-867-0243"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENARD",
"first_name": "JOHN",
"middle_name": "STEPHEN",
"name_prefix": "Mr.",
"credential": "R.PH.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "27237",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.