P Praxis·MD
● Active Type 2 · Organization

Sullivan S Drug Llc

Pharmacy·Bacliff, TX· NPI 1093726580 · Enumerated 2006 · 19 years on NPI
Sullivan S Drug Llc is 1 of 5625 pharmacy organizations in Texas.
NPI age
19 years
Enumerated 2006-08-10
Primary specialty
Pharmacy
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Rangel
Owner/pharmacist
Last NPPES update
2020-07-27
Source: monthly bulk 2026-05

How this organization compares

Across 5625 active pharmacy providers in Texas.

NPI age
19 years
↑ 4 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2006 → 2026

2006-08Enumerated in NPPES
2006 2026

Where they practice

Primary practice location
1140 Grand Ave
Bacliff, TX 775182760
📞 2813394577fax 2815594339
Mailing address
1140 Grand Ave
Bacliff, TX 775182760
📞 2813394577fax 2815594339

Authorized official

Rodolfo Rangel
Owner/pharmacist
📞 9567933738

Individual providers at this organization

2 individual providers on file at this primary practice address.

Specialties

  • Pharmacy Primary
    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...
    TX license #13309 taxonomy 3336C0003X

Identifiers

TypeValueNotes
05 (TX) 150045
01 4577219 NCPDP PROVIDER IDENTIFICATION NUMBER

Other names on file (2)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Sullivan Pharmacy
    Type code 3 recorded 2019-04-29
  • Sullivan Pharmacy
    Type code 3 recorded 2019-04-23

Practice context

Multi-provider organization. 2 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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