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DE KALB PHARMACY
NPI 1427052000
Pharmacy in De Kalb, TX

Active since June 10, 2005
120 W FRONT ST, DE KALB, TX 75559(903) 667-0880(309) 667-0909 Get Directions Write a Review

NPPES record last updated: August 30, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About De Kalb Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DE KALB PHARMACY (NPI 1427052000) is a healthcare organization registered as a pharmacy in De Kalb, Texas and active in the NPI registry since June 2005. The organization lists Janet J. Tidwell, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1427052000
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameDEKALB PHARMACY LLC
Location Address120 W FRONT STDe Kalb, TX 75559-1308
Mailing Address120 W Front StDe Kalb, TX 75559-1308 · (903) 667-0880 · Fax (309) 667-0909
Phone(903) 667-0880
Fax(309) 667-0909
Organization SubpartNo
Authorized OfficialJanet J. TidwellCo-owner · (903) 667-0880
Enumeration DateJune 10, 2005
Last NPPES UpdateAugust 30, 2017
✔ NPI 1427052000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in TX · 23839
Definition
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.
120 W FRONT ST, De Kalb, TX 75559
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Other Names 1

Doing Business AsDe Kalb Pharmacy

Other Identifiers 1

Medicaid145478TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
13 services13 patients

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JANET TIDWELL RPH
Pharmacist
120 W FRONT ST
DE KALB, TX 75559
Bowie County (903) 667-0880
DR. CHRISTY M. WALLS PHARM.D.
Pharmacist
120 W FRONT ST
DE KALB, TX 75559
Bowie County (903) 667-0880

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dekalb Pharmacy LLC's NPI number?

The NPI number for Dekalb Pharmacy LLC is 1427052000. It was assigned to this organization in the NPPES registry on June 10, 2005. The provider is doing business as De Kalb Pharmacy.

Where is Dekalb Pharmacy LLC located?

Dekalb Pharmacy LLC is located at 120 W Front St, De Kalb, TX 75559. The listed phone number is (903) 667-0880.

What is Dekalb Pharmacy LLC's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

What insurance does Dekalb Pharmacy LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 54 other insurers list Dekalb Pharmacy LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dekalb Pharmacy LLC was last updated on August 30, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.