Brackettville Pharmacy, LLC
NPI 1154486587 · Community/Retail Pharmacy · Nixon, TX
Enrolled with Medicare as Part B Supplier - Mass Immunization (roster Biller Only) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Brackettville Pharmacy, LLC is a Community/Retail Pharmacy organization in Nixon, TX (NPI 1154486587).
Provider details
- NPI number
- 1154486587
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Yankton Wyatt, Owner(830) 563-9334
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Main Drug Company
Registry dates
- Enumerated
- 2006-12-26
- Last updated
- 2021-08-19
- Certified
- 2021-08-19
Frequently asked questions
- What is Brackettville Pharmacy, LLC's NPI number?
- Brackettville Pharmacy, LLC's National Provider Identifier (NPI) is 1154486587, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Brackettville Pharmacy, LLC?
- Brackettville Pharmacy, LLC is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Brackettville Pharmacy, LLC located?
- Brackettville Pharmacy, LLC's practice location on file with NPPES is 201 N Nixon Ave, Nixon, TX 78140-2723.
- What is Brackettville Pharmacy, LLC's phone number?
- The practice phone number listed in the NPPES registry for Brackettville Pharmacy, LLC is (830) 582-1851.
- Does Brackettville Pharmacy, LLC accept Medicare?
- Brackettville Pharmacy, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Brackettville Pharmacy, LLC?
- The authorized official listed on Brackettville Pharmacy, LLC's NPPES record is Yankton Wyatt, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Brackettville Pharmacy, LLC's NPI active?
- Yes — Brackettville Pharmacy, LLC's NPI (1154486587) is active in the NPPES registry as of the last update on 2021-08-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.