Organization Active NPI

Jen-RX Inc

Doing business as Jen Care Pharmacy

  • Community/Retail Pharmacy
  • Haltom City, TX
National Provider Identifier
1053322602
Registry record updated Dec 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
17608 Issued in TX
Legal business name
JEN-RX INC
Doing business as
Jen Care Pharmacy
Practice address
3183 Denton Hwy
Haltom City, TX 76117
Phone
(817) 838-5544
Fax
(817) 838-5558
NPI assigned
Aug 10, 2006
Last updated
Dec 4, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2013

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

Authorized official

Name
Jennifer Fix, PHARMD, MBA
Title
Pic/Owner
Phone
(817) 838-5544

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 17608 TX Primary

Addresses

Primary practice location

3183 Denton Hwy
Haltom City, TX 76117

Mailing address

3183 Denton Hwy
Haltom City, TX 76117
Phone (817) 838-5544

Other identifiers 2

IdentifierTypeStateIssuer
143931MedicaidTX
2098075OtherPK

Other names 1

  • JEN CARE PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

3183 Denton Hwy
Haltom City, TX 76117
Phone (817) 838-5544

3529 Denton Hwy
Ste A
Haltom City, TX 76117
Phone (817) 838-5544

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386115200000",
    "number": "1053322602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3183 DENTON HWY",
            "city": "HALTOM CITY",
            "state": "TX",
            "postal_code": "76117",
            "telephone_number": "817-838-5544",
            "fax_number": "817-838-5558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3183 DENTON HWY",
            "city": "HALTOM CITY",
            "state": "TX",
            "postal_code": "76117",
            "telephone_number": "817-838-5544",
            "fax_number": "817-838-5558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEN-RX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2013-12-04",
        "status": "A",
        "authorized_official_last_name": "FIX",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PIC/OWNER",
        "authorized_official_telephone_number": "817-838-5544",
        "authorized_official_credential": "PHARMD, MBA"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "17608",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "143931",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2098075",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JEN CARE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Haltom City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2013; 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.