986 Specialty Pharmacy 3 Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

986 SPECIALTY PHARMACY 3 INC

Doing business as

PerfectRx Plano

Practice address

6205 Coit Rd Ste 356
Plano, TX 75024-5491

Phone

(469) 543-0199

Fax

(469) 543-0194

NPI assigned

Sep 13, 2019

Last updated

Jul 11, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miss Adina Wong, PHARM DNPI 1053952887

Title

Pharmacist in Charge

Phone

(469) 543-0199

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• PerfectRx Plano Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Adina Wong, PHARM D

  • Pharmacist
  • Plano, TX
  • NPI 1053952887
  NPD Authorized official

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

{
    "created_epoch": "1568332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689033600000",
    "number": "1053961854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6205 COIT RD STE 356",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750245491",
            "telephone_number": "469-543-0199",
            "fax_number": "469-543-0194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6205 COIT RD STE 356",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750245491",
            "telephone_number": "469-543-0199",
            "fax_number": "469-543-0194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "986 SPECIALTY PHARMACY 3 INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-13",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "ADINA",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "469-543-0199",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150132",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PerfectRx Plano",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Plano, TX
• Providers in Plano, 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 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.