Organization Active NPI

U.S. Pharmacy, Inc. Store#2

  • Community/Retail Pharmacy
  • Fort Worth, TX
National Provider Identifier
1033340955
Registry record updated Jul 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
26563 Issued in TX
Legal business name
U.S. PHARMACY, INC. STORE#2
Practice address
4245 E Berry St
Fort Worth, TX 76105
Phone
(817) 478-9191
Fax
(817) 572-0740
NPI assigned
Jul 28, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2009

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

Authorized official

Name
Mr. Ricardo O'Donnell Newton, R.PH.
Title
President/Pharmacist
Phone
(817) 531-8880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 26563 TX Primary

Addresses

Primary practice location

4245 E Berry St
Fort Worth, TX 76105

Mailing address

4245 E Berry St
Fort Worth, TX 76105-5002
Phone (817) 531-8880

National Provider Directory

National Provider Directory
Tax ID family
U S Pharmacy Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1248739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248739200000",
    "number": "1033340955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4245 E BERRY ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761055002",
            "telephone_number": "817-531-8880",
            "fax_number": "817-531-8886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4245 E BERRY ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76105",
            "telephone_number": "817-478-9191",
            "fax_number": "817-572-0740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "U.S. PHARMACY, INC. STORE#2",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-28",
        "last_updated": "2009-07-28",
        "status": "A",
        "authorized_official_last_name": "NEWTON",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_middle_name": "O'DONNELL",
        "authorized_official_title_or_position": "PRESIDENT/PHARMACIST",
        "authorized_official_telephone_number": "817-531-8880",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "26563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 28, 2009; 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.