QVL Pharmacy 146, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

26306 Issued in TX

Legal business name

QVL PHARMACY 146, LLC

Practice address

914 Lipscomb
Suite B
Fort Worth, TX 76104

Phone

(817) 806-5133

Fax

(817) 806-5137

NPI assigned

Jan 23, 2009

Organization subpart

Yes

Parent organization

QVL PHARMACY HOLDINGS, INCAs reported in NPPES

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

Authorized official

Name

Mr. J Mark Bradford

Title

Ceo

Phone

(972) 788-2653

Specialties & licenses 1

Addresses

Part of

Advanced Pharmacy Solutions

Locations

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

{
    "created_epoch": "1232668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232668800000",
    "number": "1104064419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4141 BLUE LAKE CIRCLE",
            "address_2": "SUITE 124",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75244",
            "telephone_number": "972-788-2653",
            "fax_number": "214-975-1327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "914 LIPSCOMB",
            "address_2": "SUITE B",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76104",
            "telephone_number": "817-806-5133",
            "fax_number": "817-806-5137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QVL PHARMACY 146, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "QVL PHARMACY HOLDINGS, INC",
        "enumeration_date": "2009-01-23",
        "last_updated": "2009-01-23",
        "status": "A",
        "authorized_official_last_name": "BRADFORD",
        "authorized_official_first_name": "J",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "972-788-2653",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "26306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lydia Eileen Quintero, LPC
• Carolyn Wilson Quist, D.O.
• Aliya Qureshi, DDS
• Jawad Qureshi, M.D.
• Sana Qureshi, DO
• R & R 15 15, LLC
• R G Medical PLLC
• R K Nair MD PA
• R Larry Marshall MD PA
• R Todd Plott MD PA

• Community/Retail Pharmacy in Fort Worth, TX
• Providers in Fort Worth, 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 Jan 23, 2009; 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.