MEDI-DRIVE PHARMACY LLC
NPI 1962687251
Pharmacy in Canyon, TX

Active since January 04, 2008
507 23RD ST, CANYON, TX 79015(806) 655-1024(806) 655-9762 Get Directions Write a Review

NPPES record last updated: October 31, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 21, 2017, Apr 11, 2017 (2 updates tracked since 2017).

About Medi-drive Pharmacy Llc NPPES

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

MEDI-DRIVE PHARMACY LLC (NPI 1962687251) is a healthcare organization registered as a pharmacy in Canyon, Texas and active in the NPI registry since January 2008. The organization lists Angela Klaire Bazaldua, Pic, as its authorized official.

NPPES Registry Identity

NPI1962687251
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameMEDI-DRIVE PHARMACY LLC
Location Address507 23RD STCanyon, TX 79015-4043
Mailing Address507 23rd StCanyon, TX 79015-4043 · (806) 655-1024 · Fax (806) 655-9762
Fax(806) 655-9762
Organization SubpartNo
Authorized OfficialAngela Klaire BazalduaPic · (806) 655-1024
Enumeration DateJanuary 4, 2008
Last NPPES UpdateOctober 31, 20252 updates tracked since enumeration
NPPES CertifiedOctober 31, 2025
NPI 1962687251 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License Licensed in TX · 31118
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.
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
Also ListedPharmacy · Long Term Care PharmacyTaxonomy 3336L0003X
507 23RD ST, Canyon, TX 79015

Other Identifiers 1

Other2162163Pk

Accepted Insurance

Areas of Expertise CMS Part B claims 2

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.

Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
61 services61 patients
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.
61 services61 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.

Pharmacist (Geriatric)
507 23RD ST
CANYON, TX 79015
Pharmacist
507 23RD ST
CANYON, TX 79015

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 Medi-Drive Pharmacy LLC's NPI number?

The NPI number for Medi-Drive Pharmacy LLC is 1962687251. It was assigned to this organization in the NPPES registry on January 4, 2008.

Where is Medi-Drive Pharmacy LLC located?

Medi-Drive Pharmacy LLC is located at 507 23rd St, Canyon, TX 79015. The listed phone number is (806) 655-1024.

What is Medi-Drive Pharmacy LLC's specialty?

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

What insurance does Medi-Drive 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 55 other insurers list Medi-Drive 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 Medi-Drive Pharmacy LLC was last updated on October 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.