MEDICARE: MEDICINE MAN, L.P.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy	20997	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1376509885
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDICINE MAN, L.P.

Provider Business Mailing Address
First Line	:	16250 DALLAS PKWY
Second Line	:	SUITE 100
City	:	DALLAS
State	:	TX
Zip	:	75248-2626
Country	:	US
Telephone Number	:	972-860-0200
Fax Number	:	972-860-0298

Provider Business Practice Location Address
First Line	:	13250 HIGHWAY 6
Second Line	:
City	:	SANTA FE
State	:	TX
Zip	:	77510-7682
Country	:	US
Telephone Number	:	409-925-3522
Fax Number	:	409-925-9958

Authorized Official
Title or Position	:	PRESIDENT & CEO
Name	:	ERNEST H. ZOST
Credential	:	RPH
Telephone Number	:	972-860-0202

Provider Enumeration Date	:	04/24/2006
Last Update Date	:	08/22/2020

Similar Medicare Providers

1194755991 — BOLTON HEALTH CARE L.L.C.
Practice Location Address:

13246 HIGHWAY 6
SANTA FE, TX
77510-7682

Practice Phone: 409-927-4703
Practice Fax: 409-927-4738

1255502704 — PHARMACY OPERATIONS INC
Practice Location Address:

13250 HIGHWAY 6
SANTA FE, TX
77510-7682

Practice Phone: 409-925-3522
Practice Fax:

1932334588 — EPOCH PHARMACY SOLUTIONS SANTE FE MEDICINE MAN PHARMACY
Practice Location Address:

13250 HIGHWAY 6
SANTA FE, TX
77510-7682

Practice Phone: 409-927-1979
Practice Fax: 409-925-7170

1033196118 — DR. KENNETH WAYNE VANSICKLE JR. D.M.D
Practice Location Address:

2008 SAINT MICHAELS DR , SUITE B
SANTA FE, NM
87505-7682

Practice Phone: 505-474-4993
Practice Fax: 505-474-4973

1184701468 — STEPHEN FRANCIS CARVER O.D.
Practice Location Address:

2008 SAINT MICHAELS DR , SUITE A
SANTA FE, NM
87505-7682

Practice Phone: 505-983-4709
Practice Fax: 505-954-0707

1598830929 — SMALL SMILES DENTISTRY FOR CHILDREN, SANTA FE, PC
Practice Location Address:

2008 SAINT MICHAELS DR , #B
SANTA FE, NM
87505-7682

Practice Phone: 505-474-4993
Practice Fax: 505-474-4973

Directions to “MEDICINE MAN, L.P. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.