Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Pecos Street Pharmacy, Inc

Organization Pharmacy · NPI 1659374379

Pecos Street Pharmacy, Inc is a Pharmacy in San Angelo, Texas. Licensed in Texas. Registered with an NPI since 2005.

Licensed in
TX
In the registry since
2005
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2102 Pecos St Ste 13
San Angelo, TX 76901-3061
Phone: (325) 949-5381
Fax: (325) 942-9997
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Long Term Care Pharmacy (primary) Taxonomy 3336L0003X · Licence 13819 (TX)
Pharmacy Taxonomy 333600000X · Licence 13819 (TX)

Record details

NPI number1659374379
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bryan Abernathy — President · (325) 949-4636
Other names Medi-Mart Pharmacy; Medi-Mart Pharmacy
NPI enumeratedMay 27, 2005
Last updated in NPPESJuly 11, 2019
Mailing address2102 Pecos St, San Angelo, TX 76901-3061

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