Lone Star Pain Medicine PLLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

29653 Issued in TX

Legal business name

LONE STAR PAIN MEDICINE PLLC

Doing business as

Town Creek Pharmacy

Practice address

907 Eureka St Ste B
Weatherford, TX 76086-5880

Phone

(817) 458-5292

Fax

(817) 599-3456

NPI assigned

Dec 23, 2014

Organization subpart

No

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

Authorized official

Name

Tammie Miskimins

Title

Senior Manager

Phone

(817) 572-0009

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Town Creek Pharmacy Doing business as

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

{
    "created_epoch": "1419292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1982092102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 W. NORTHWEST HWY",
            "address_2": "STE. 100",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "76051",
            "telephone_number": "817-572-0009",
            "fax_number": "817-720-1039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 EUREKA ST STE B",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760865880",
            "telephone_number": "817-458-5292",
            "fax_number": "817-599-3456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONE STAR PAIN MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-23",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "MISKIMINS",
        "authorized_official_first_name": "TAMMIE",
        "authorized_official_title_or_position": "SENIOR MANAGER",
        "authorized_official_telephone_number": "817-572-0009"
    },
    "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": "29653",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2149304",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Town Creek Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• LHCB PLLC (Weatherford Pediatric Dental Associates)
• Alex Jen Hao Lin, DO
• Charity Dawn Livesay
• LJ Haynes Company (Haynes Physical Therapy)
• Lone Star Pain Institute
• Lonestar Surgical Professionals LLC
• Cheyenne Lopez, RBT
• Skyler Saige Lott
• Virginia Lott
• Cheyanne Love

• Community/Retail Pharmacy in Weatherford, TX
• Providers in Weatherford, 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 Jul 19, 2018; 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.