PORT ARANSAS PHARMACY L.C. NPI 1942286471

NPI Information

NPI: 1942286471
Provider Name: PORT ARANSAS PHARMACY, L.C.

Doing Business As: PORT ARANSAS PHARMACY

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization

Address:
2131 STATE HIGHWAY 361
PORT ARANSAS, TX
ZIP 78373
Phone: (361) 749-1725
Get Directions

PORT ARANSAS PHARMACY, L.C. is a durable medical equipment medical supplies in Port Aransas, TX. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. PORT ARANSAS PHARMACY, L.C. NPI is 1942286471. The provider is registered as an organization entity type.
The provider Is Doing Business As Port Aransas Pharmacy.

The provider's business location address is:

2131 STATE HIGHWAY 361
PORT ARANSAS, TX
ZIP 78373-801
Phone: (361) 749-1725

The provider's authorized official is John Stogner .
The authorized official title is Cfo and has the following contact phone number (903) 893-0677.

The CLIA number assigned to this NPI record is 45D2295852 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/16/2005 and was last updated on 8/22/2020.

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
1	332B00000X	Durable Medical Equipment & Medical Supplies		23841	TEXAS	Yes
2	333600000X	Pharmacy		23841	TEXAS	X
3	3336C0003X	Pharmacy	Community/Retail Pharmacy	23841	TEXAS	X
4	3336C0004X	Pharmacy	Compounding Pharmacy	23841	TEXAS	X

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
1	145480	MEDICAID	TEXAS
2	1736738	MEDICAID	TEXAS

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: 5/5/2024

NPI Synchronization or Removal

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