RX Sos PLLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

30574 Issued in TX

Legal business name

RX SOS PLLC

Doing business as

Grapevine Drug RX

Practice address

1115 W Northwest Hwy Ste H
Grapevine, TX 76051-5010

Phone

(817) 481-5780

Fax

(817) 442-0435

NPI assigned

May 11, 2016

Organization subpart

No

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

Authorized official

Name

Shelly Moss

Title

President

Phone

(817) 481-5780

Specialties & licenses 5

Addresses

Other identifiers 2

Other names 1

• Grapevine Drug RX Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joe Don Baker, R.PH.

  • Pharmacist
  • Grapevine, TX
  • NPI 1578890158
  NPD (past)
• Jason Lee Burket, PHARMD.

  • Pharmacist
  • Grapevine, TX
  • NPI 1851867303
  NPD (past)
• Joseph Moss, PHARMD

  • Pharmacist
  • Grapevine, TX
  • NPI 1386150324
  NPD (past)

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

{
    "created_epoch": "1462924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488326400000",
    "number": "1083060776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 W NORTHWEST HWY STE H",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760515010",
            "telephone_number": "817-481-5780",
            "fax_number": "817-442-0435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 W NORTHWEST HWY STE H",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760515010",
            "telephone_number": "817-481-5780",
            "fax_number": "817-442-0435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RX SOS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-11",
        "last_updated": "2017-03-01",
        "status": "A",
        "authorized_official_last_name": "MOSS",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-481-5780"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "30574",
            "primary": true
        },
        {
            "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": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2160256",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149493",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grapevine Drug RX",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gillian Rowland, RBT
• Gladys Carolina Rubalcava
• Erika Ruiz, PA-C
• Meri Rule, PHD, NCC, LPC, LCDC
• Cheryl Jones Rutherford, MA, LPC
• Patrick Ryan Jr., MD
• S C Nutrition
• S Robert Harla DO PA
• Jaysukh Narsi Sabhaya, RPH
• Ken Sacramento, APRN

• Community/Retail Pharmacy in Grapevine, TX
• Providers in Grapevine, 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 Mar 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.