Prog RX, LLC

Primary specialty

Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X

Legal business name

PROG RX, LLC

Practice address

813 N O Connor Rd
Irving, TX 75061-4510

Phone

(855) 890-9589

NPI assigned

Oct 9, 2017

Organization subpart

No

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

Authorized official

Name

Azmat Shah

Title

Manager

Phone

(830) 366-7240

Specialties & licenses 1

Addresses

Other names 1

• PROG RX, LLC Doing business as

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

{
    "created_epoch": "1507507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507507200000",
    "number": "1063922664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 N O CONNOR RD",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750614510",
            "telephone_number": "855-890-9589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 N O CONNOR RD",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750614510",
            "telephone_number": "855-890-9589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROG RX, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-09",
        "last_updated": "2017-10-09",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "AZMAT",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "830-366-7240"
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PROG RX, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Infusion Therapy Clinic/Center in Irving, TX
• Providers in Irving, TX by specialty
• Infusion Therapy Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2017; 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.