OrganizationActiveAccepts Medicare
James Lynn White
NPI 1821149212 · Community/Retail Pharmacy · Mineral Wells, TX
Enrolled with Medicare as Dme Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1821149212
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Cathy Bohannon, Pharmacist in Charge(940) 325-2541
- License
- 12245 (TX)
Specialties & taxonomies
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
100 Se 17th Ave
Mineral Wells, TX 76067-5607
Phone: (940) 325-2541
Street-level locationGet directions
Mailing address
Po Box 1313
Mineral Wells, TX 76068-1313
Other names (DBA / former)
- Doing business as
- Diamond Pharmacy No. 1
Registry dates
- Enumerated
- 2007-01-14
- Last updated
- 2008-08-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.