Active NPI
Perronerx LLC
- Long Term Care Pharmacy
- Fort Worth, TX
National Provider Identifier
1073830386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- License
- 26901
- Legal business name
- PERRONERX LLC
- Doing business as
- PerroneRX, LLC
- Practice address
- 3923 Highway 377
Fort Worth, TX 76116-7802 - Phone
- (817) 731-5899
- Fax
- (817) 731-3069
- NPI assigned
- Apr 26, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Paula Perrone
- Title
- Managing Member/Ceo
- Phone
- (817) 737-7663
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | |||
| Compounding Pharmacy | 3336C0004X | |||
| Long Term Care Pharmacy | 3336L0003X | 26901 | TX | Primary |
Addresses
Primary practice location
3923 Highway 377
Fort Worth, TX 76116-7802
Mailing address
3923 Highway 377
Fort Worth, TX 76116-7802
Phone (817) 737-7663
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2125004 | Other | PK | |
| 350234 | Medicaid | TX |
Other names 1
- PerroneRX, LLC
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272240000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1635206400000",
"number": "1073830386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3923 HIGHWAY 377",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761167802",
"telephone_number": "817-737-7663",
"fax_number": "817-731-7711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3923 HIGHWAY 377",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761167802",
"telephone_number": "817-731-5899",
"fax_number": "817-731-3069"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PERRONERX LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-04-26",
"last_updated": "2021-10-26",
"certification_date": "2021-10-26",
"status": "A",
"authorized_official_last_name": "PERRONE",
"authorized_official_first_name": "PAULA",
"authorized_official_title_or_position": "MANAGING MEMBER/CEO",
"authorized_official_telephone_number": "817-737-7663"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "TX",
"license": "26901",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2125004",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "350234",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "PerroneRX, LLC",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "PerroneRX, LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.