Pleasant Grove Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

11056 Issued in TX

Legal business name

PLEASANT GROVE PHARMACY

Doing business as

Pleasant Grove Pharmacy

Practice address

3302 Richmond Rd
Texarkana, TX 75503-0703

Phone

(903) 832-4545

Fax

(903) 832-4546

NPI assigned

Oct 7, 2006

Last updated

Dec 26, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marcia Peeples

Title

Owner and Pharmacist

Phone

(903) 832-4545

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• PLEASANT GROVE PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1160179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419552000000",
    "number": "1003903204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3302 RICHMOND RD",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755030703",
            "telephone_number": "903-832-4545",
            "fax_number": "903-832-4546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3302 RICHMOND RD",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755030703",
            "telephone_number": "903-832-4545",
            "fax_number": "903-832-4546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLEASANT GROVE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-07",
        "last_updated": "2014-12-26",
        "status": "A",
        "authorized_official_last_name": "PEEPLES",
        "authorized_official_first_name": "MARCIA",
        "authorized_official_title_or_position": "OWNER AND PHARMACIST",
        "authorized_official_telephone_number": "903-832-4545"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "11056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2102791",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142931",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PLEASANT GROVE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lori Marie Pippen, OTR
• Henry J Platt, M.D.
• Kevin Hugh Platt, PA-C
• Pleasant Grove Family Dentistry
• Pleasant Grove Independent School District
• Jerry Pool
• Cindy R Porter, MD
• Steven J. Porter, M.D.
• Positive Horizons Family Center
• Charles Poteet Jr., MD

• Community/Retail Pharmacy in Texarkana, TX
• Providers in Texarkana, 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 Dec 26, 2014; 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.