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KOTZEBUE LEGEND DRUG
NPI 1821134958
Pharmacy - Community/Retail Pharmacy in Gonzales, TX

Active since January 29, 2007
525 N SAINT JOSEPH ST, GONZALES, TX 78629(830) 672-8505(830) 672-8507 Get Directions Write a Review

NPPES record last updated: April 1, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kotzebue Legend Drug NPPES

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

KOTZEBUE LEGEND DRUG (NPI 1821134958) is a healthcare organization registered as a community/retail pharmacy in Gonzales, Texas and active in the NPI registry since January 2007. The organization lists Doug Kotzebue, Owner And Pic, as its authorized official.

NPPES Registry Identity

NPI1821134958
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameKOTZEBUE DRUG INC
Location Address525 N SAINT JOSEPH STGonzales, TX 78629-4019
Mailing Address525 N Saint Joseph StGonzales, TX 78629-4019 · (830) 672-8505 · Fax (830) 672-8507
Phone(830) 672-8505
Fax(830) 672-8507
Organization SubpartNo
Authorized OfficialDoug KotzebueOwner And Pic · (830) 672-8505
Enumeration DateJanuary 29, 2007
Last NPPES UpdateApril 1, 2010
✔ NPI 1821134958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in TX · 04194
Definition
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.
Also ListedPharmacyTaxonomy 333600000X
Also ListedPharmacy · Long Term Care PharmacyTaxonomy 3336L0003X
525 N SAINT JOSEPH ST, Gonzales, TX 78629
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Other Names 1

Doing Business AsKotzebue Legend Drug

Other Identifiers 2

Other4521161Ncpdp Provider Identification Number
Medicaid4521161TX

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 Kotzebue Drug Inc's NPI number?

The NPI number for Kotzebue Drug Inc is 1821134958. It was assigned to this organization in the NPPES registry on January 29, 2007. The provider is doing business as Kotzebue Legend Drug.

Where is Kotzebue Drug Inc located?

Kotzebue Drug Inc is located at 525 N Saint Joseph St, Gonzales, TX 78629. The listed phone number is (830) 672-8505.

What is Kotzebue Drug Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

When was this NPI record last updated?

The NPPES record for Kotzebue Drug Inc was last updated on April 1, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.