West Old Corner Drug, Inc
Community/Retail Pharmacy
200 N Main St, West
Texas, 76691-1207
254-826-5122 254-826-3768
West Old Corner Drug, Inc is an authorized DME supplier for medicare equipments and products.
West Old Corner Drug, Inc is a Community/Retail Pharmacy in West, Texas. It is located at 200 N Main St, West and it's customer support contact number is 254-826-5122. The authorized person of West Old Corner Drug, Inc is Dr. Randy James Niemeyer, PHARMD who is Pharmacist/president of the pharmacy and his contact number is 254-826-5122. West Old Corner Drug, Inc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
West Old Corner Drug, Inc is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
West Old Corner Drug, Inc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | West Old Corner Drug, Inc |
| Type: | Community/Retail Pharmacy |
| Location: | 200 N Main St, West, Texas, 76691-1207 |
| Phone: | 254-826-5122 |
| Fax: | 254-826-3768 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Randy James Niemeyer |
| Credentials: | PHARMD |
| Position: | Pharmacist/president |
| Contact Number: | 254-826-5122 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1518042803 |
| NPI Enumeration Date: | 26 Oct, 2006 |
| NPI Last Update On: | 06 Mar, 2021 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for West Old Corner Drug, Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | | | Primary | |
| Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 142315 | Medicaid | Texas | |
| 16437801 | Medicaid | Texas | |
Medicare Enrollment:
West Old Corner Drug, Inc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 5092835082 | O20161019001183 | Kirk Wines | PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY) |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 200 N Main St, West, Texas |
| Zip: | 76691-1207 |
| Phone Number: | 254-826-5122 |
| Fax Number: | 254-826-3768 |
Patients can reach West Old Corner Drug, Inc at
200 N Main St, West, Texas or can
call on customer care at 254-826-5122.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.