OrganizationActive
Shallowater Pharmacy, LLC
NPI 1396947024 · Community/Retail Pharmacy · Shallowater, TX
Shallowater Pharmacy, LLC is a Community/Retail Pharmacy organization in Shallowater, TX (NPI 1396947024).
Provider details
- NPI number
- 1396947024
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Micah Pratt, Owner(806) 385-4491
- License
- 28431 (TX)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(89/100 index)
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
1502 12th St Ste B
Shallowater, TX 79363-5651
Phone: (806) 832-0250
Fax: (806) 832-0251
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1129
Shallowater, TX 79363-1129
Other names (DBA / former)
- Doing business as
- Shallowater Pharmacy
Registry dates
- Enumerated
- 2007-06-04
- Last updated
- 2013-03-07
Frequently asked questions
- What is Shallowater Pharmacy, LLC's NPI number?
- Shallowater Pharmacy, LLC's National Provider Identifier (NPI) is 1396947024, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Shallowater Pharmacy, LLC?
- Shallowater Pharmacy, LLC is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Shallowater Pharmacy, LLC located?
- Shallowater Pharmacy, LLC's practice location on file with NPPES is 1502 12th St Ste B, Shallowater, TX 79363-5651.
- What is Shallowater Pharmacy, LLC's phone number?
- The practice phone number listed in the NPPES registry for Shallowater Pharmacy, LLC is (806) 832-0250.
- Who is the authorized official for Shallowater Pharmacy, LLC?
- The authorized official listed on Shallowater Pharmacy, LLC's NPPES record is Micah Pratt, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Shallowater Pharmacy, LLC's NPI active?
- Yes — Shallowater Pharmacy, LLC's NPI (1396947024) is active in the NPPES registry as of the last update on 2013-03-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.