Organization Active NPI

Autell Pharmacy Inc

Doing business as Extend Care Pharmacy Services

  • Managed Care Organization Pharmacy
  • Pilot Point, TX
National Provider Identifier
1992710594
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Managed Care Organization PharmacyTaxonomy code 3336M0003X
Legal business name
AUTELL PHARMACY INC
Doing business as
Extend Care Pharmacy Services
Practice address
1246-A1 Hwy 377 Ste 200
Pilot Point, TX 76258
Phone
(940) 686-2140
Fax
(940) 686-9218
NPI assigned
Jul 30, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mary Autell, CPHT
Title
Treasurer
Phone
(940) 686-2218

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 19116 TX
Community/Retail Pharmacy 3336C0003X
Long Term Care Pharmacy 3336L0003X
Managed Care Organization Pharmacy 3336M0003X Primary

Addresses

Primary practice location

1246-A1 Hwy 377 Ste 200
Pilot Point, TX 76258

Mailing address

1246-A1 Hwy 377 Ste 200
Pilot Point, TX 76258

Other identifiers 2

IdentifierTypeStateIssuer
4502515OtherOTHER ID NUMBER-COMMERCIAL NUMBER
350126MedicaidTX

Other names 1

  • EXTEND CARE PHARMACY SERVICES Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1992710594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1246-A1 HWY 377 STE 200",
            "city": "PILOT POINT",
            "state": "TX",
            "postal_code": "76258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1246-A1 HWY 377 STE 200",
            "city": "PILOT POINT",
            "state": "TX",
            "postal_code": "76258",
            "telephone_number": "940-686-2140",
            "fax_number": "940-686-9218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTELL PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "AUTELL",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "940-686-2218",
        "authorized_official_credential": "CPHT"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "TX",
            "license": "19116",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Managed Care Organization Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "4502515",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "350126",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EXTEND CARE PHARMACY SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pilot Point, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.