Healthcare Provider Details

I. General information

NPI: 1699762443
Provider Name (Legal Business Name): MED-CARE PHARMACY, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

213 W SCURRY ST
DAINGERFIELD TX
75638-1657
US

IV. Provider business mailing address

213 W SCURRY ST
DAINGERFIELD TX
75638-1661
US

V. Phone/Fax

Practice location:
  • Phone: 903-645-5933
  • Fax: 903-645-5934
Mailing address:
  • Phone: 903-645-5933
  • Fax: 903-645-5934

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number18845
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number18845
License Number StateTX

VIII. Authorized Official

Name: JEREL KERBY
Title or Position: OWNER/PHARMACIST
Credential: RPH
Phone: 903-645-5933