THREE RIVERS PHARMACY, LLC (NPI# 1821170002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821170002 |
| Entity Type | Organization |
| Organization Name | THREE RIVERS PHARMACY, LLC |
| Other Organization Name | CAMPBELL DRUG STORE |
| Practice Address |
101 W. Thornton Three Rivers TX 78071 |
| Mailing Address |
813 Hospital Dr. Andrews TX 79714 |
| Practice Telephone | 3617863757 |
| Practice Fax Number | 3617863279 |
| Mailing Telephone | 4325234861 |
| Mailing Fax Number | 4325244418 |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2019-02-28 |
| Authorized Official Name | YANKTON WYATT (VICE PRESIDENT) |
| Authorized Official Telephone | 4325234861 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 149919 | 05 |
| Other Name | Type Code |
|---|---|
| Campbell Drug Store | Doing Business As Name - Organization |
| Street Address |
101 W. THORNTON |
| City | THREE RIVERS |
| State | TX |
| Zip Code | 78071 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417290685 | Lynn Lea Bullard | Nurse Practitioner | Fci Three Rivers, Federal Bureau of Prison, Three Rivers, TX 78071 | 2013-04-05 |
| 1336491083 | Atascosa Health Center, Inc. | Clinic/Center | 105 E. Thornton, Three Rivers, TX 78071 | 2012-10-04 |
| 1558673640 | Soliz Physical Therapy Pllc | Physical Therapist | 305 West Thornton Street, Three Rivers, TX 78071 | 2010-07-06 |
| 1447445804 | Live Oak County | Case Management | 102 N Harborth Ave, Three Rivers, TX 78071 | 2007-09-10 |
| 1518170125 | Cary A Pruski | Dentist | 200 Thornton St, Three Rivers, TX 78071 | 2007-05-08 |
| 1407980535 | Dusty D Soliz | Physical Therapist | 305 W Thornton St, Three Rivers, TX 78071 | 2007-03-14 |
| 1740258417 | Jourdanton Hospital Corporation | Clinic/Center | 105 E Thornton St, Three Rivers, TX 78071 | 2006-03-09 |
| 1124099007 | Wayne Oliver Ghans | Family Medicine | 105 E Thornton, Three Rivers, TX 78071 | 2006-01-30 |
| 1083092803 | Premier Home Health Solutions Inc | Home Health | 649 E 12 Mile Rd, Madison Heights, MI 78071 | 2015-05-13 |
| 1649532029 | Holly Christine Rainer | Nurse Practitioner | 105 E Thornton, Three Rivers, TX 78071 | 2012-06-12 |
| Find all providers in zip 78071 | ||||
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346228269 | Freds Supermarket and Pharmacy of Three Rivers Inc | Pharmacy | 808 W Michigan Ave, Freds Pharmacy, Three Rivers, MI 49093-3103 | 2006-01-03 |
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|---|---|---|---|---|
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| 1679174882 | Comanche County Medical Center Company | Pharmacy | 1870 State Hwy 36, Rising Star, TX 76471 | 2020-11-04 |
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| 1356942767 | Rxassist Pharmacy, Inc. | Pharmacy | 17020 Beaver Springs Dr Ste 8, Houston, TX 77090-2398 | 2020-11-03 |
| 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 | ||||
| City | THREE RIVERS |
| Zip Code | 78071 |
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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.