Pecos Street Pharmacy, Inc.
NPI 1659374379ActiveOrganization· Pharmacy, Long Term Care Pharmacy· San Angelo, TX
Pharmacy, Long Term Care Pharmacy in San Angelo, Texas, registered in NPPES in May 2005. The authorized official on file is Bryan T. Abernathy, President.
Overview
| NPI | 1659374379 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 27, 2005 |
| Last updated in NPPES | Jul 11, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy, Long Term Care Pharmacy Primary | 3336L0003X | 13819 | TX |
| Pharmacy | 333600000X | 13819 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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