Organization
AUTELL PHARMACY INC
Active
Other names
EXTEND CARE PHARMACY SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
MARY AUTELL CPHT (TREASURER)
(940) 686-2218
Entity
Organization
Contact information
Practice address
1246-A1 HWY 377 STE 200, PILOT POINT, TX 76258
(940) 686-2140
(940) 686-9218
Mailing address
1246-A1 HWY 377 STE 200, PILOT POINT, TX 76258
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
19116
TX
3336C0003X
Community/Retail Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
3336M0003X
Managed Care Organization Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
350126
—
TX
01
—
4502515
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/30/2006
Last updated
09/11/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up