Rockwall Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

30777 Issued in TX

Legal business name

ROCKWALL PHARMACY LLC

Doing business as

Rockwall Pharmacy

Practice address

2504 Ridge Rd
Suite 106
Rockwall, TX 75087-2569

Phone

(469) 769-1160

Fax

(469) 769-1161

NPI assigned

Apr 15, 2016

Last updated

Jul 19, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tommy Jones

Title

Manager

Phone

(469) 769-1160

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Rockwall Pharmacy Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sanjay Patel, R.PH.

  • Pharmacist
  • Rockwall, TX
  • NPI 1285189605
  NPD (past)

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

{
    "created_epoch": "1460678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1114371226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2504 RIDGE RD",
            "address_2": "SUITE 106",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750872569",
            "telephone_number": "469-769-1160",
            "fax_number": "469-769-1161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2504 RIDGE RD",
            "address_2": "SUITE 106",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750872569",
            "telephone_number": "469-769-1160",
            "fax_number": "469-769-1161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKWALL PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-15",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "TOMMY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "469-769-1160"
    },
    "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": "30777",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2159682",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149386",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rockwall Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Rockwall Oral & Facial Surgery
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• Rockwall Pro Health Chiropractic
• Rockwall Professionals LLC
• Rockwall Providence Care Inc (Executive Home Care of Northeast Dallas and Flower Mound Texas)

• Community/Retail Pharmacy in Rockwall, TX
• Providers in Rockwall, 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 Jul 19, 2018; 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.