Active NPI
Saferx LLC
- Community/Retail Pharmacy
- Mesquite, TX
National Provider Identifier
1114428281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- SAFERX LLC
- Practice address
- 4321 N Belt Line Rd Ste 500B
Mesquite, TX 75150-8247 - Phone
- (972) 761-1970
- Fax
- (972) 863-3367
- NPI assigned
- Feb 23, 2018
- 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
- Anup Kurian Varghese
- Title
- Pic
- Phone
- (972) 761-1970
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary | ||
| Mail Order Pharmacy | 3336M0002X |
Addresses
Primary practice location
4321 N Belt Line Rd Ste 500B
Mesquite, TX 75150-8247
Mailing address
4321 N Belt Line Rd Ste 500B
Mesquite, TX 75150-8247
Phone (972) 761-1970
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 150096 | Medicaid | TX |
Other names 1
- MED RX PHARMACY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220207001352 | TX | Part B Supplier - Pharmacy | 1658764006 | Practice locations: Mesquite, TX |
National Provider Directory
National Provider DirectoryLocations
4321 N Belt Line Rd
Ste 500B
Mesquite, TX 75150
Phone (972) 761-1970
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Sunnyvale, TX
- NPI 1346589710
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519344000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1595980800000",
"number": "1114428281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4321 N BELT LINE RD STE 500B",
"city": "MESQUITE",
"state": "TX",
"postal_code": "751508247",
"telephone_number": "972-761-1970",
"fax_number": "972-863-3367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4321 N BELT LINE RD STE 500B",
"city": "MESQUITE",
"state": "TX",
"postal_code": "751508247",
"telephone_number": "972-761-1970",
"fax_number": "972-863-3367"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAFERX LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-02-23",
"last_updated": "2020-07-29",
"certification_date": "2020-07-29",
"status": "A",
"authorized_official_last_name": "VARGHESE",
"authorized_official_first_name": "ANUP",
"authorized_official_middle_name": "KURIAN",
"authorized_official_title_or_position": "PIC",
"authorized_official_telephone_number": "972-761-1970"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
},
{
"code": "3336M0002X",
"taxonomy_group": "",
"desc": "Pharmacy, Mail Order Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "150096",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "MED RX PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mesquite, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.