NPIMap

Organization Active NPI

Hospice of Wichita Falls Pharmacy

  • Specialty Pharmacy
  • Wichita Falls, TX
National Provider Identifier
1043700727
Registry record updated May 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Specialty PharmacyTaxonomy code 3336S0011X
License
17433 Issued in TX
Legal business name
HOSPICE OF WICHITA FALLS PHARMACY
Practice address
4909 Johnson Rd
Suite B102 Pharmacy
Wichita Falls, TX 76310-2547
Phone
(940) 687-8625
Fax
(940) 687-6000
NPI assigned
May 17, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2018

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

Authorized official

Name
David Tate
Title
Pharmacist
Phone
(940) 687-8625

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Specialty Pharmacy 3336S0011X 17433 TX Primary

Addresses

Primary practice location

4909 Johnson Rd
Suite B102 Pharmacy
Wichita Falls, TX 76310-2547

Mailing address

4909 Johnson Rd
Suite B102 Pharmacy
Wichita Falls, TX 76310-2547
Phone (940) 687-8625

Other identifiers 2

IdentifierTypeStateIssuer
2177571OtherPK
000204000MedicaidTX

Other names 1

  • Hospice of Wichita Falls Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Hospice of Wichita Falls4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

4909 Johnson Rd
Ste B102
Wichita Falls, TX 76310
Phone (940) 687-8625

NPI Registry JSON

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

{
    "created_epoch": "1526515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526515200000",
    "number": "1043700727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4909 JOHNSON RD",
            "address_2": "SUITE B102 PHARMACY",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763102547",
            "telephone_number": "940-687-8625",
            "fax_number": "940-687-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4909 JOHNSON RD",
            "address_2": "SUITE B102 PHARMACY",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763102547",
            "telephone_number": "940-687-8625",
            "fax_number": "940-687-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE OF WICHITA FALLS PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-17",
        "last_updated": "2018-05-17",
        "status": "A",
        "authorized_official_last_name": "TATE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "940-687-8625"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "TX",
            "license": "17433",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2177571",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000204000",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hospice of Wichita Falls",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wichita Falls, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2018; 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.