JERRY'S PHARMACY, LTD (NPI# 1225199292) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225199292 |
| Entity Type | Organization |
| Organization Name | JERRY'S PHARMACY, LTD |
| Practice Address |
2793 Main St Ingleside TX 78362-5901 |
| Practice Telephone | 3617762577 |
| Practice Fax Number | 3617760967 |
| Mailing Telephone | 3617762577 |
| Mailing Fax Number | 3617760967 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2010-02-16 |
| Authorized Official Name | MR. JERRY SMOLIK (PHARMACIST, OWNER) |
| Authorized Official Telephone | 3617762577 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 23292 | TX | Pharmacy Service Providers |
| Y | 333600000X | Pharmacy | 25909 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 145436 | 05 | |
| TX | 166649701 | 05 | |
| NCPDP | 4536807 | 01 |
| Street Address |
2793 MAIN ST |
| City | INGLESIDE |
| State | TX |
| Zip Code | 78362-5901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518488535 | Elizabeth Elmore | Physical Therapy Assistant | 2246 Sunset Cliffs Dr, Ingleside, TX 78362 | 2017-06-29 |
| 1699910414 | Benjamin Noel Paloy Carrido | Military Health Care Provider | 2969 Atlantic Blvd Apt 115, Ingleside, TX 78362 | 2008-12-08 |
| 1356438295 | Mayfield Chiropractic | Chiropractor | 2168 Hwy 361, Ingleside, TX 78362 | 2006-10-10 |
| 1881796274 | Stanley Dee Seymour | Chiropractor | 2681 State Hwy 361, Ingleside, TX 78362 | 2006-09-05 |
| 1306809967 | Douglas Neil Holleman Sr. | Military Health Care Provider | Mhc Crew Inflict, Naval Station Ingleside, Ingleside, TX 78362 | 2006-04-06 |
| 1619944642 | Damian J Lovello | Military Health Care Provider | 1632 Ticonderoga St, Uss Heron Mhc 52, Ingleside, TX 78362 | 2006-03-08 |
| 1720056609 | Rudy Wilbert Arocha | Military Health Care Provider | Branch Health Clinic, 327 Coral Sea Dr. Suite 165, Ingleside, TX 78362 | 2006-03-08 |
| 1518479930 | Candice Nicole Miller | Nurse Practitioner | 2713 S Main St, Ingleside, TX 78362 | 2017-10-25 |
| 1609043777 | Jason Paul Fechner | Military Health Care Provider | 1451 Lexington Drive, Comcmron2, Ingleside, TX 78362 | 2008-05-08 |
| 1487843975 | Wellmed Medical Group Pa | Clinic/Center | 2713 Main St, Ingleside, TX 78362 | 2007-10-19 |
| Find all providers in zip 78362 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| 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. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487151007 | Mermaid Walking Inc | Pharmacy | 2334 Hwy 361, Ste 178, Ingleside, TX 78362-4127 | 2018-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992305619 | Kasaundra Deleon | Pharmacy | 802 E Us Hwy, Richardson, TX 75081 | 2020-10-30 |
| 1205435138 | N.p. Consultants Viii, LLC | Pharmacy | 2115 Pleasanton Rd Ste 100, San Antonio, TX 78221-1300 | 2020-10-21 |
| 1619575362 | Ava Healthcare LLC | Pharmacy | 1600 W Louisiana St Ste 700, Mckinney, TX 75069-7881 | 2020-10-14 |
| 1174120562 | Medela Pharmacy Inc | Pharmacy | 6550 Mapleridge St Ste 200, Houston, TX 77081-4647 | 2020-10-08 |
| 1891392387 | Scriptdash Inc | Pharmacy | 475 State Highway 121 Byp Ste 150, Lewisville, TX 75067-8154 | 2020-10-07 |
| 1164037594 | Nanes Pharmacy LLC | Pharmacy | 17030 Nanes Dr Ste 105a, Houston, TX 77090-2503 | 2020-09-11 |
| 1528672342 | Still Living LLC | Pharmacy | 5344a N Tarrant Pkwy, Fort Worth, TX 76244-6293 | 2020-08-31 |
| 1407469471 | Scriptdash Inc | Pharmacy | 6201 W Plano Pkwy Ste 400, Plano, TX 75093-4907 | 2020-08-28 |
| 1104439629 | Rxmed Pharmacy Pllc | Pharmacy | 502 N Valley Pkwy Ste 1a, Lewisville, TX 75067-3437 | 2020-08-25 |
| 1265045751 | Homecare Pharmacy LLC | Pharmacy | 8700 S Braeswood Blvd Ste B2, Houston, TX 77031-1338 | 2020-08-25 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.