OrganizationActive
Pecos Street Pharmacy, Inc.
NPI 1659374379 · Long Term Care Pharmacy · San Angelo, TX
Pecos Street Pharmacy, Inc. is a Long Term Care Pharmacy organization in San Angelo, TX (NPI 1659374379).
Provider details
- NPI number
- 1659374379
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Bryan Abernathy, President(325) 949-4636
- License
- 13819 (TX)
Specialties & taxonomies
Suppliers
Suppliers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
21 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
2102 Pecos St
Ste 13
San Angelo, TX 76901-3061
Phone: (325) 949-5381
Fax: (325) 942-9997
Street-level locationGet directions
Mailing address
2102 Pecos St
San Angelo, TX 76901-3061
Other names (DBA / former)
- Doing business as
- Medi-Mart Pharmacy
- Doing business as
- Medi-Mart Pharmacy
Registry dates
- Enumerated
- 2005-05-27
- Last updated
- 2019-07-11
Frequently asked questions
- What is Pecos Street Pharmacy, Inc.'s NPI number?
- Pecos Street Pharmacy, Inc.'s National Provider Identifier (NPI) is 1659374379, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pecos Street Pharmacy, Inc.?
- Pecos Street Pharmacy, Inc. is classified in the NPPES registry as Long Term Care Pharmacy (Suppliers).
- Where is Pecos Street Pharmacy, Inc. located?
- Pecos Street Pharmacy, Inc.'s practice location on file with NPPES is 2102 Pecos St, San Angelo, TX 76901-3061.
- What is Pecos Street Pharmacy, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Pecos Street Pharmacy, Inc. is (325) 949-5381.
- Who is the authorized official for Pecos Street Pharmacy, Inc.?
- The authorized official listed on Pecos Street Pharmacy, Inc.'s NPPES record is Bryan Abernathy, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pecos Street Pharmacy, Inc.'s NPI active?
- Yes — Pecos Street Pharmacy, Inc.'s NPI (1659374379) is active in the NPPES registry as of the last update on 2019-07-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.