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KRAEGE DRUG STORE NPI 1053462838


NPI Information

NPI: 1053462838
Provider Name: KRAEGE DRUG STORE

Other Name: THE KRAEGE DRUG STORE

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
113 E MAIN ST
YORKTOWN, TX
ZIP 78164
Phone: (361) 564-2216
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KRAEGE DRUG STORE is a community/retail pharmacy pharmacy in Yorktown, TX. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. KRAEGE DRUG STORE NPI is 1053462838. The provider is registered as an organization entity type.
The provider Other Name Is The Kraege Drug Store.

The provider's business location address is:

113 E MAIN ST
YORKTOWN, TX
ZIP 78164-030
Phone: (361) 564-2216

The provider's authorized official is Thomas Kraege .
The authorized official title is Partner and has the following contact phone number (361) 564-2216.

The enumeration date for this NPI number is 1/16/2007 and was last updated on 11/28/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336C0003XPharmacyCommunity/Retail Pharmacy00293TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10185774-01MEDICAIDTEXAS
2130669MEDICAIDTEXAS
34534055OTHERTEXASNCPDP NUMBER
40885550001MEDICARE ID-TYPE UNSPECIFIEDTEXASMEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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