Med Care Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

18845 Issued in TX

Legal business name

MED CARE PHARMACY INC

Doing business as

Med Care Pharmacy

Practice address

213 W Scurry St Ste C
Daingerfield, TX 75638-1661

Phone

(903) 645-5933

Fax

(903) 645-5934

NPI assigned

Nov 17, 2006

Last updated

Jan 8, 2010By 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

Jerel KerbyNPI 1013056902

Title

President Pharmacist

Phone

(903) 645-5933

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• MED CARE PHARMACY Doing business as

Tax ID family

Med Care Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Med-Care Pharmacy, Inc

  • Pharmacy
  • Daingerfield, TX
  • NPI 1699762443
  NPD tax ID

Locations

Practitioners 1

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.

• Jerel Lynn Kerby, R.PH.

  • Pharmacist
  • Daingerfield, TX
  • NPI 1013056902
  NPD (past) Authorized official

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262908800000",
    "number": "1982778452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 715",
            "city": "DAINGERFIELD",
            "state": "TX",
            "postal_code": "756380715",
            "telephone_number": "903-645-5933",
            "fax_number": "903-645-5934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 W SCURRY ST STE C",
            "city": "DAINGERFIELD",
            "state": "TX",
            "postal_code": "756381661",
            "telephone_number": "903-645-5933",
            "fax_number": "903-645-5934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED CARE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2010-01-08",
        "status": "A",
        "authorized_official_last_name": "KERBY",
        "authorized_official_first_name": "JEREL",
        "authorized_official_title_or_position": "PRESIDENT PHARMACIST",
        "authorized_official_telephone_number": "903-645-5933"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "18845",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4599493",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "144587",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MED CARE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lynn S. Lain, SLP
• Trey Matthew Latiolais, D.D.S.
• James David Lewis, D.C.
• Danny Lilley
• Laura Lilley, PT
• Med-Care Pharmacy, Inc
• Roderick Lee Mitchell, MD
• Alvita Corinne Moore
• Morris Care Pharmacy LLC (Morriscare Pharmacy)
• Mother Frances Hospital-Winnsboro (Family Care Center Daingerfield)

• Community/Retail Pharmacy in Daingerfield, TX
• Providers in Daingerfield, 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 Jan 8, 2010; 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.