Pharmacy Depot, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

29155 Issued in TX

Legal business name

PHARMACY DEPOT, LLC

Practice address

1119 W Randol Mill Rd Ste 104
Arlington, TX 76012-6509

Phone

(682) 323-5528

Fax

(682) 323-7022

NPI assigned

Jun 3, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kevin Vu

Title

Manager

Phone

(817) 688-3778

Specialties & licenses 1

Addresses

Other names 1

• PHARMACY DEPOT Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1401753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547769600000",
    "number": "1003229550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1119 W RANDOL MILL RD STE 104",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760126509",
            "telephone_number": "682-323-5528",
            "fax_number": "682-323-7022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1119 W RANDOL MILL RD STE 104",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760126509",
            "telephone_number": "682-323-5528",
            "fax_number": "682-323-7022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMACY DEPOT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-03",
        "last_updated": "2019-01-18",
        "status": "A",
        "authorized_official_last_name": "VU",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "817-688-3778"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "29155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PHARMACY DEPOT",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PHARMACY DEPOT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Paulina Phuong Phan, O.D.
• Tien Van Phan, PT, DPT
• Yen Phan, DO
• Pharmaceutical Development Group LLC
• Pharmacy Concepts LTD
• Emily Phelps, MSN, RNC-OB, C-EFM
• Mary Alice Phifer, RN C FNP
• Finey Philip
• Tina R Phillips-Hamilton, APRN, PMHNP-BC
• Airika J Phillips, LAT

• Community/Retail Pharmacy in Arlington, TX
• Providers in Arlington, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.