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Pecos Street Pharmacy, Inc.

Long Term Care Pharmacy in San Angelo, TX · enumerated 2005 · authorized official Bryan Abernathy, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1659374379

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Registry record

Entity type Organization (Type 2)
Legal business name Pecos Street Pharmacy, Inc.
Other name <Unavail>
Practice address 2102 Pecos St, Ste 13, San Angelo, TX, 76901
Phone (325) 949-5381
Fax (325) 942-9997
Enumeration date May 27, 2005
Last updated in NPPES Jul 11, 2019

Taxonomy & classification

333600000X Pharmacy Suppliers · License 13819 (TX) Secondary
3336L0003X Long Term Care Pharmacy Suppliers · License 13819 (TX) Primary

Authorized official

Name Bryan Abernathy
Title President
Phone (325) 949-4636

Other identifiers

Identifier Type State Issuer
350004 Medicaid TX -
4586307 Other TX NABP NUMBER

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Pecos Street Pharmacy, Inc.?
Pecos Street Pharmacy, Inc. is registered in NPPES as a Long Term Care Pharmacy (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-07-11.