Organization Active NPI

WPMD LLC

  • Community/Retail Pharmacy
  • Arlington, TX
National Provider Identifier
1083962963
Registry record updated Mar 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28125 Issued in TX
Legal business name
WPMD LLC
Practice address
3415 S Cooper St
Ste 106
Arlington, TX 76015-3446
Phone
(817) 642-5613
Fax
(682) 238-3686
NPI assigned
Aug 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2017

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

Authorized official

Name
Thai Pham
Title
Owner
Phone
(817) 642-5613

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 28125 TX Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

3415 S Cooper St
Ste 106
Arlington, TX 76015-3446

Mailing address

3415 S Cooper St
Ste 106
Arlington, TX 76015-3446
Phone (817) 642-5613

Other identifiers 1

IdentifierTypeStateIssuer
2136587OtherPK

Other names 1

  • Parkwood Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Parkwood Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1346025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489968000000",
    "number": "1083962963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3415 S COOPER ST",
            "address_2": "STE 106",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760153446",
            "telephone_number": "817-642-5613",
            "fax_number": "682-238-3686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3415 S COOPER ST",
            "address_2": "STE 106",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760153446",
            "telephone_number": "817-642-5613",
            "fax_number": "682-238-3686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WPMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-27",
        "last_updated": "2017-03-20",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "THAI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-642-5613"
    },
    "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": "28125",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2136587",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parkwood Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.