KOTZEBUE DRUG INC (NPI# 1821134958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821134958 |
| Entity Type | Organization |
| Organization Name | KOTZEBUE DRUG INC |
| Other Organization Name | KOTZEBUE LEGEND DRUG |
| Practice Address |
525 N Saint Joseph St Gonzales TX 78629-4019 |
| Practice Telephone | 8306728505 |
| Practice Fax Number | 8306728507 |
| Mailing Telephone | 8306728505 |
| Mailing Fax Number | 8306728507 |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2010-04-01 |
| Authorized Official Name | DOUG KOTZEBUE (OWNER AND PIC) |
| Authorized Official Telephone | 8306728505 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
04194 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 4521161 | 01 | |
| TX | 4521161 | 05 |
| Other Name | Type Code |
|---|---|
| KOTZEBUE LEGEND DRUG | Doing Business As Name - Organization |
| Street Address |
525 N SAINT JOSEPH ST |
| City | GONZALES |
| State | TX |
| Zip Code | 78629-4019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265032072 | Bruce Franklin Blackwell | Pharmacist | 1114 East Sarah Dewitt Drive, Gonzales, TX 78629 | 2020-10-30 |
| 1790327765 | Gonzales County Emergency Services District 1 | Ambulance | 305 Qualls Street, Gonzales, TX 78629 | 2019-10-11 |
| 1831663400 | Caitlin Walker | Clinic/Center | 1300 Captain Albert Martin Trail, Gonzales, TX 78629 | 2019-01-17 |
| 1497251698 | Vaz Urgent Care Clinic, Pa | Clinic/Center | 1003 N Sarah Dewitt Drive, Gonzales, TX 78629 | 2018-04-05 |
| 1104348762 | Jeremiah Berryhill | Specialist/Technologist | 1711 E Sarah Dewitt Dr., Gonzales, TX 78629 | 2017-07-14 |
| 1073912861 | Gonzales County Senior Citizens Association, Inc | Home Delivered Meals | 818 Seydler Street, Gonzales, TX 78629 | 2014-08-18 |
| 1932544517 | Familylink Treatment Services | Counselor | 13326 Highway North 183, Gonzales, TX 78629 | 2013-05-08 |
| 1598035651 | H-e-b, Lp | Clinical Medical Laboratory | 1841 Church St., Gonzales, TX 78629 | 2012-01-06 |
| 1942441159 | Rebecca P. Bohach | Licensed Vocational Nurse | 228 St. George, Community Health Centers of South Central Texas, Inc, Gonzales, TX 78629 | 2009-03-18 |
| 1376763631 | Gonzales Isd | Local Education Agency (LEA) | 535 Fair St., Gonzales, TX 78629 | 2007-04-27 |
| Find all providers in zip 78629 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| 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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| 1134318132 | Walgreen Co. | Pharmacy | 105 W Highway 30, Gonzales, LA 70737-4802 | 2007-10-16 |
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| 1245711936 | Harvey Pharmaceuticals, LLC | Pharmacy | 15013 Highway 44 Ste B, Gonzales, LA 70737-6744 | 2018-08-22 |
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| 1154921864 | Mbepe Health LLC | Pharmacy | 301 S 9th St Ste 121, Richmond, TX 77469-3448 | 2020-10-30 |
| 1639779366 | Mens African Investors | Pharmacy | 6355 S Peek Rd Ste 300, Katy, TX 77450-7195 | 2020-10-30 |
| 1861091977 | A Medizona Pharmacy | Pharmacy | 3700 Barker Cypress Rd, Suite 700, Houston, TX 77084 | 2020-10-20 |
| 1952900078 | Nudo Pharmacy LLC | Pharmacy | 104 Industrial Blvd Ste 201, Sugar Land, TX 77478-3174 | 2020-10-20 |
| 1194324277 | Rite Scripts Pharmacy Inc | Pharmacy | 13835 Westhollow Park Dr Apt 2805, Houston, TX 77082-1885 | 2020-10-20 |
| 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.