Organization Active NPI

Family First Pharmacy LP

  • Community/Retail Pharmacy
  • Tyler, TX
National Provider Identifier
1114003266
Registry record updated Oct 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
25213 Issued in TX
Legal business name
FAMILY FIRST PHARMACY LP
Practice address
16623 Old Jacksonville Hwy
Ste a
Tyler, TX 75703
Phone
(903) 561-2822
Fax
(903) 561-3292
NPI assigned
Oct 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2014

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

Authorized official

Name
Elizabeth Mason
Title
Owner
Phone
(903) 561-2822

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X 25213 TX Primary

Addresses

Primary practice location

16623 Old Jacksonville Hwy
Ste a
Tyler, TX 75703

Mailing address

16623 Old Jacksonville Hwy
Ste a
Tyler, TX 75703
Phone (903) 561-2822

Other identifiers 2

IdentifierTypeStateIssuer
145719MedicaidTX
2099583OtherPK

Other names 1

  • FAMILY FIRST PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

16623 FM 2493
Ste A
Tyler, TX 75703
Phone (903) 561-2822

NPI Registry JSON

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412640000000",
    "number": "1114003266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16623 OLD JACKSONVILLE HWY",
            "address_2": "STE A",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "75703",
            "telephone_number": "903-561-2822",
            "fax_number": "903-561-3292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16623 OLD JACKSONVILLE HWY",
            "address_2": "STE A",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "75703",
            "telephone_number": "903-561-2822",
            "fax_number": "903-561-3292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY FIRST PHARMACY LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-31",
        "last_updated": "2014-10-07",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-561-2822"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "25213",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145719",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2099583",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FAMILY FIRST PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2014; 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.