Organization Active NPI

Princeton Pharmacy Inc.

  • Community/Retail Pharmacy
  • Princeton, TX
National Provider Identifier
1043352537
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
21344 Issued in TX
Legal business name
PRINCETON PHARMACY INC.
Practice address
501 E. Princeton Dr
Suite 100
Princeton, TX 75407
Phone
(972) 734-6281
NPI assigned
Feb 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Leonard Ellis Lynskey, R.PH.
Title
Owner
Phone
(972) 734-6281

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 21344 TX Primary

Addresses

Primary practice location

501 E. Princeton Dr
Suite 100
Princeton, TX 75407

Mailing address

PO Box 1501
Princeton, TX 75407-1501
Phone (972) 734-6281

Other identifiers 2

IdentifierTypeStateIssuer
145132MedicaidTX
4591649OtherNABP NUMBER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043352537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1501",
            "city": "PRINCETON",
            "state": "TX",
            "postal_code": "754071501",
            "telephone_number": "972-734-6281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 E. PRINCETON DR",
            "address_2": "SUITE 100",
            "city": "PRINCETON",
            "state": "TX",
            "postal_code": "75407",
            "telephone_number": "972-734-6281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCETON PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LYNSKEY",
        "authorized_official_first_name": "LEONARD",
        "authorized_official_middle_name": "ELLIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-734-6281",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "21344",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145132",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP NUMBER",
            "identifier": "4591649",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.