OrganizationActive
Kotzebue Drug Inc
NPI 1821134958 · Community/Retail Pharmacy · Gonzales, TX
Provider details
- NPI number
- 1821134958
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Doug Kotzebue, Owner and Pic(830) 672-8505
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
- Long Term Care Pharmacy3336L0003X
Suppliers
Profile Score
Detailed profile(90/100 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
525 N Saint Joseph St
Gonzales, TX 78629-4019
Phone: (830) 672-8505
Fax: (830) 672-8507
Street-level locationGet directions
Mailing address
525 N Saint Joseph St
Gonzales, TX 78629-4019
Other names (DBA / former)
- Doing business as
- Kotzebue Legend Drug
Registry dates
- Enumerated
- 2007-01-29
- Last updated
- 2010-04-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.