Organization Active NPI

Dilley Drug Store LC

  • Durable Medical Equipment & Medical Supplies
  • Dilley, TX
National Provider Identifier
1992840219
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
DILLEY DRUG STORE LC
Practice address
106 N Main
Dilley, TX 78017-3800
Phone
(830) 965-1666
Fax
(830) 965-1737
NPI assigned
Feb 21, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Pablo Gonzales
Title
Owner
Phone
(830) 965-1666

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

106 N Main
Dilley, TX 78017-3800

Mailing address

106 N Main
Dilley, TX 78017-3800
Phone (830) 965-1666

National Provider Directory

National Provider Directory

Locations

106 N Main
Dilley, TX 78017
Phone (830) 965-1666

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992840219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 N MAIN",
            "city": "DILLEY",
            "state": "TX",
            "postal_code": "780173800",
            "telephone_number": "830-965-1666",
            "fax_number": "830-965-1737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 N MAIN",
            "city": "DILLEY",
            "state": "TX",
            "postal_code": "780173800",
            "telephone_number": "830-965-1666",
            "fax_number": "830-965-1737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DILLEY DRUG STORE LC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GONZALES",
        "authorized_official_first_name": "PABLO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "830-965-1666"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dilley, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.