Active NPI
WPMD LLC
- Community/Retail Pharmacy
- Arlington, TX
National Provider Identifier
1083962963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 28125
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2136587 | Other | PK |
Other names 1
- Parkwood Pharmacy
National Provider Directory
National Provider Directory- Tax ID family
- Parkwood Pharmacy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Arlington, TX
- NPI 1306195615
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.