FIRST LONE STAR PHARMACY GROUP IV LLC (NPI# 1326154113) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326154113 |
| Entity Type | Organization |
| Organization Name | FIRST LONE STAR PHARMACY GROUP IV LLC |
| Other Organization Name | EXTENDCARE PHARMACY SERVICES |
| Practice Address |
1246 Hwy 3773 Ste 200 Pilot Point TX 76258 |
| Mailing Address |
1246 S Highway 377 Suite 200 Pilot Point TX 76258-4353 |
| Practice Telephone | 9406862140 |
| Practice Fax Number | 9406869286 |
| Mailing Telephone | 9406862140 |
| Mailing Fax Number | 9406869286 |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2020-10-08 |
| Authorized Official Name | MARK ELLIOT (OPERATIONS MANAGER) |
| Authorized Official Telephone | 2145219991 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
29469 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2146343 | 01 |
| Other Name | Type Code |
|---|---|
| EXTENDCARE PHARMACY SERVICES | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174594451 | First Lone Star Pharmacy Group Iv LLC | Pharmacy | 1246 S Highway 377, Ste 100, Pilot Point, TX 76258-4353 | 2006-01-27 |
| Street Address |
1246 HWY 3773 STE 200 |
| City | PILOT POINT |
| State | TX |
| Zip Code | 76258 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528691466 | Caroline Mwembu Muiga | Nurse Practitioner | 1340 N Hyw 377, Pilot Point, TX 76258 | 2020-02-19 |
| 1609250380 | Cassie Anne Dennis | Nurse Practitioner | 1235 S Highway 377 Ste A, Pilot Point, TX 76258 | 2015-07-13 |
| 1679839203 | Bott Dentistry, Pllc | Dentist | 1223 South Washington Street, Pilot Point, TX 76258 | 2012-04-09 |
| 1407009715 | Glenn T Howard | Counselor | 9540 Hwy 377 South, Pilot Point, TX 76258 | 2008-10-30 |
| 1528282902 | Lisa L Houk | Nurse Practitioner | 1340 N Hwy 377 Ste 110, Pilot Point, TX 76258 | 2007-04-13 |
| 1801955273 | Pilot Point Pharmacy Ltd. | Pharmacy | 1340 N Highway 377, Ste 100, Pilot Point, TX 76258 | 2006-12-08 |
| 1992710594 | Autell Pharmacy Inc | Pharmacy | 1246-a1 Hwy 377 Ste 200, Pilot Point, TX 76258 | 2006-07-30 |
| 1376567040 | City of Pilot Point | Ambulance | 110 West Division St., Pilot Point, TX 76258 | 2006-07-27 |
| 1336144039 | Active Home Care Services, Inc. | Home Health | 1016 N Industrial Blvd, Pilot Point, TX 76258 | 2005-06-17 |
| 1780882621 | North Texas Family Medicine, Pllc | Physician Assistant | 1340 N Hwy 377 Ste 110, Pilot Point, TX 76258 | 2007-07-03 |
| Find all providers in zip 76258 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| 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: new] |
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| 1871114421 | Alamo Health LLC | Pharmacy | 408 Us Highway 90 W Ste B, Castroville, TX 78009-4548 | 2020-05-05 |
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| 1750900015 | Thousand Oaks Healthcare LLC | Pharmacy | 426 Castroville Rd Ste 5, San Antonio, TX 78207-5169 | 2020-04-15 |
| 1639708464 | Thirumala Group LLC | Pharmacy | 100 W Princeton Dr Ste A, Princeton, TX 75407-9607 | 2020-04-03 |
| 1982230488 | Rio Grande Pharmacy, LLC | Pharmacy | 5500 Doniphan Dr Ste 201-202, El Paso, TX 79932-1454 | 2020-03-16 |
| Find all providers with the same taxonomy | ||||
| City | PILOT POINT |
| Zip Code | 76258 |
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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.