Bandera Drug, LLC
NPI 1922470483 · Community/Retail Pharmacy · Bandera, TX
Enrolled with Medicare as Part B Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Bandera Drug, LLC is a Community/Retail Pharmacy organization in Bandera, TX (NPI 1922470483).
Provider details
- NPI number
- 1922470483
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Wayne Antenen, Manager(830) 796-3111
- License
- 30261 (TX)
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
Registry dates
- Enumerated
- 2015-10-23
- Last updated
- 2015-10-23
Frequently asked questions
- What is Bandera Drug, LLC's NPI number?
- Bandera Drug, LLC's National Provider Identifier (NPI) is 1922470483, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bandera Drug, LLC?
- Bandera Drug, LLC is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Bandera Drug, LLC located?
- Bandera Drug, LLC's practice location on file with NPPES is 1100 Mulberry Street, Bandera, TX 78003.
- What is Bandera Drug, LLC's phone number?
- The practice phone number listed in the NPPES registry for Bandera Drug, LLC is (830) 796-3111.
- Does Bandera Drug, LLC accept Medicare?
- Bandera Drug, 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 Bandera Drug, LLC?
- The authorized official listed on Bandera Drug, LLC's NPPES record is Wayne Antenen, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bandera Drug, LLC's NPI active?
- Yes — Bandera Drug, LLC's NPI (1922470483) is active in the NPPES registry as of the last update on 2015-10-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.