1ST STREET APOTHECARY INC – NPI #1386951150
Pharmacy
A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.
1ST STREET APOTHECARY INC is a pharmacy located in TEMPLE, TX. NPPES has assigned the NPI number 1386951150 to 1ST STREET APOTHECARY INC on September 01, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “1ST STREET APOTHECARY INC” is a dba name, the actual legal business name for this organization is 1ST STREET APOTHECARY. The primary taxonomy selected by this provider is 3336C0004X from the Health Care Provider Taxonomy code set, which is classified as Pharmacy, specializing in Compounding Pharmacy
The NPI profile was previously updated about 16 years ago on Nov 04, 2010. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for 1ST STREET APOTHECARY INC below.
NPI Profile for
1ST STREET APOTHECARY
(about 16 years ago)
TEMPLE, TX 76504-7450 Phone: (254) 598-3541 Fax: (254) 598-3542
PHARMACIST
Phone: (254) 598-3541
Identifiers for 1ST STREET APOTHECARY INC
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| OTHER | NCPDP PROVIDER IDENTIFICATION NUMBER | 5901613 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 3336C0004X - Pharmacy / Compounding Pharmacy (Primary) |
TX | 26916 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.