Amarillo Compounding Pharmacy

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

License

24402 Issued in TX

Legal business name

AMARILLO COMPOUNDING PHARMACY

Practice address

1422 S Tyler St
Suite 105
Amarillo, TX 79101-4237

Phone

(806) 378-8843

NPI assigned

Aug 13, 2007

Last updated

Aug 13, 2007By 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

Dr. Brent Dance, PHARMD

Title

Pharmacist-in-Charge

Phone

(806) 378-8843

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1186963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186963200000",
    "number": "1033301197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1422 S TYLER ST",
            "address_2": "SUITE 105",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791014237",
            "telephone_number": "806-378-8843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1422 S TYLER ST",
            "address_2": "SUITE 105",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791014237",
            "telephone_number": "806-378-8843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMARILLO COMPOUNDING PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-13",
        "last_updated": "2007-08-13",
        "status": "A",
        "authorized_official_last_name": "DANCE",
        "authorized_official_first_name": "BRENT",
        "authorized_official_title_or_position": "PHARMACIST-IN-CHARGE",
        "authorized_official_telephone_number": "806-378-8843",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "TX",
            "license": "24402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Compounding Pharmacy in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Compounding Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2007; 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.