Organization Active NPI

BG&M Pharmacy, LLC

Doing business as Forest Park Pharmacy

  • Community/Retail Pharmacy
  • Fort Worth, TX
National Provider Identifier
1013664614
Registry record updated Oct 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
BG&M PHARMACY, LLC
Doing business as
Forest Park Pharmacy
Practice address
2410 Forest Park Blvd
Fort Worth, TX 76110-1702
Phone
(682) 250-3116
Fax
(817) 549-7739
NPI assigned
Mar 4, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2022

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

Authorized official

Name
Dr. Glenda Jewel Hart, PHARMDNPI 1376985267
Title
Owner/Manager
Phone
(682) 250-3116

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

2410 Forest Park Blvd
Fort Worth, TX 76110-1702

Mailing address

2410 Forest Park Blvd
Fort Worth, TX 76110-1702
Phone (682) 250-3116

Other names 1

  • Forest Park Pharmacy Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2270985Forest Park Pharmacy2410 Forest Park Blvd, Fort Worth, TX 76110Certificate of waiverOct 24, 2026

National Provider Directory

National Provider Directory

Locations

2410 Forest Park Blvd
Fort Worth, TX 76110
Phone (682) 250-3116

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1646352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665964800000",
    "number": "1013664614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2410 FOREST PARK BLVD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761101702",
            "telephone_number": "682-250-3116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 FOREST PARK BLVD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761101702",
            "telephone_number": "682-250-3116",
            "fax_number": "817-549-7739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BG&M PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-04",
        "last_updated": "2022-10-17",
        "certification_date": "2022-10-17",
        "status": "A",
        "authorized_official_last_name": "HART",
        "authorized_official_first_name": "GLENDA",
        "authorized_official_middle_name": "JEWEL",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "682-250-3116",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Forest Park Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Forest Park Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.