Organization Active NPI

Perronerx LLC

  • Long Term Care Pharmacy
  • Fort Worth, TX
National Provider Identifier
1073830386
Registry record updated Oct 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
26901 Issued in TX
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
Last updated
Oct 26, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2021

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2125004OtherPK
350234MedicaidTX

Other names 1

  • PerroneRX, LLC Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.