CLARENDON OUTPOST NPI 1205833118

NPI Information

  • NPI: 1205833118
  • Provider Name: CLARENDON OUTPOST
  • Classification: Pharmacy - 333600000X
  • Entity Type: Organization
  • Address: 619 W 2ND
    CLARENDON, TX
    ZIP 79226
  • Phone: (806) 874-5202

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NPI Details

CLARENDON OUTPOST is a pharmacy in Clarendon, TX. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. CLARENDON OUTPOST NPI is 1205833118. The provider is registered as an organization entity type.

The provider's business location address is:

619 W 2ND
CLARENDON, TX
ZIP 79226-927
Phone: (806) 874-5202
Fax: (806) 874-5204

The provider's authorized official is Elmonette E Bivens .
The authorized official title is Pharmacist In Charge and has the following contact phone number (806) 874-5202.

The enumeration date for this NPI number is 7/7/2005 and was last updated on 6/11/2021.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2332BX2000XDurable Medical Equipment & Medical SuppliesOxygen Equipment & SuppliesNo
3333600000XPharmacy16767TEXASYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1014359601MEDICAIDTEXAS
2144483MEDICAIDTEXAS
3010761701MEDICAIDTEXAS

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: 11/21/2025

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