Grapevine Pharmacy, Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

GRAPEVINE PHARMACY, INC

Practice address

2637 Ira E Woods Ave Ste 200
Grapevine, TX 76051-9012

Phone

(817) 416-2222

Fax

(817) 416-2223

NPI assigned

Jul 29, 2020

Organization subpart

No

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

Authorized official

Name

Natalie Benitez, CPHT

Title

Owner

Phone

(469) 733-0606

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1595980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595980800000",
    "number": "1043829658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2637 IRA E WOODS AVE STE 200",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760519012",
            "telephone_number": "817-416-2222",
            "fax_number": "817-416-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2637 IRA E WOODS AVE STE 200",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760519012",
            "telephone_number": "817-416-2222",
            "fax_number": "817-416-2223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAPEVINE PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-29",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A",
        "authorized_official_last_name": "BENITEZ",
        "authorized_official_first_name": "NATALIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-733-0606",
        "authorized_official_credential": "CPHT"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Grapevine Kids PLLC
• Grapevine Pain Management, LLC
• Grapevine Pediatric Clinic, PA
• Grapevine Radiology Associates
• Grapevine Rheumatology Clinic,LLC
• Grapevine Smiles PLLC
• Grapevine Total Wellness PLLC
• Grapevine Valley Hope

• Community/Retail Pharmacy in Grapevine, TX
• Providers in Grapevine, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.