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JIM CALDWELL NPI 1396747291


NPI Information

NPI: 1396747291
Provider Name: JIM CALDWELL

Doing Business As: OWL DRUG STORE

Classification: Pharmacist - 183500000X
Entity Type: Organization

CLIA Number: 45D2191524

Address:
312 S COMMERCIAL AVE
COLEMAN, TX
ZIP 76834
Phone: (325) 625-9448
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JIM CALDWELL is a pharmacist in Coleman, TX. The provider is an individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. JIM CALDWELL NPI is 1396747291. The provider is registered as an organization entity type.
The provider Is Doing Business As Owl Drug Store.

The provider's business location address is:

312 S COMMERCIAL AVE
COLEMAN, TX
ZIP 76834-214
Phone: (325) 625-9448
Fax: (325) 625-5552

The provider's authorized official is James B. Caldwell .
The authorized official title is Owner/pharmacist and has the following contact phone number (325) 625-2178.

The CLIA number assigned to this NPI record is 45D2191524 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/11/2005 and was last updated on 5/25/2022.


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
1332B00000XDurable Medical Equipment & Medical SuppliesTEXASNo
23336C0003XPharmacyCommunity/Retail PharmacyNo
33336L0003XPharmacyLong Term Care PharmacyNo
43336S0011XPharmacySpecialty PharmacyNo
5183500000XPharmacist00004TEXASYes

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
1010673401MEDICAIDTEXAS
2017073001MEDICAIDTEXAS
3140971MEDICAIDTEXAS

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.