NPIMap

Organization Active NPI

Metroplex Adventist Hospital Inc

Doing business as Metroplex Pharmacy

  • Community/Retail Pharmacy
  • Killeen, TX
National Provider Identifier
1073943866
Registry record updated Sep 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
15371 Issued in TX
Legal business name
METROPLEX ADVENTIST HOSPITAL INC
Doing business as
Metroplex Pharmacy
Practice address
2201 S Clear Creek Rd
Killeen, TX 76549-4110
Phone
(254) 519-8272
Fax
(254) 519-8919
NPI assigned
Nov 15, 2013
Last updated
Sep 7, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2016

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

Authorized official

Name
Sara Luong, PHARMD
Title
Pharmacy Manager
Phone
(254) 519-8272

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 15371 TX Primary

Addresses

Primary practice location

2201 S Clear Creek Rd
Killeen, TX 76549-4110

Mailing address

2201 S Clear Creek Rd
Attn: Outpatient Pharmacy
Killeen, TX 76549-4110
Phone (254) 519-8272

Other identifiers 1

IdentifierTypeStateIssuer
2143030OtherPK

Other names 1

  • Metroplex Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Metroplex Hospital ER8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1384473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473206400000",
    "number": "1073943866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 S CLEAR CREEK RD",
            "address_2": "ATTN: OUTPATIENT PHARMACY",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765494110",
            "telephone_number": "254-519-8272",
            "fax_number": "254-519-8262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 S CLEAR CREEK RD",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765494110",
            "telephone_number": "254-519-8272",
            "fax_number": "254-519-8919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROPLEX ADVENTIST HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-15",
        "last_updated": "2016-09-07",
        "status": "A",
        "authorized_official_last_name": "LUONG",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "254-519-8272",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "15371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2143030",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Metroplex Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Killeen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2016; 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.