Organization Active NPI

Perrone Pharmacy, Inc

  • Community/Retail Pharmacy
  • Fort Worth, TX
National Provider Identifier
1124057997
Registry record updated Oct 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
01865 Issued in TX
Legal business name
PERRONE PHARMACY, INC
Practice address
3921 Benbrook Hwy
Fort Worth, TX 76116-7802
Phone
(817) 738-2135
Fax
(817) 763-8784
NPI assigned
Jul 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2021

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

Authorized official

Name
Mrs. Paula Perrone
Title
President
Phone
(817) 738-2135

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 01865 TX Primary

Addresses

Primary practice location

3921 Benbrook Hwy
Fort Worth, TX 76116-7802

Mailing address

3921 Benbrook Hwy
Fort Worth, TX 76116-7802
Phone (817) 738-2135

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120131000953 TX Part B Supplier - Mass Immunization (Roster Biller Only) 6002087962 Practice locations: Fort Worth, TX

National Provider Directory

National Provider Directory

Locations

3921 Benbrook Hwy
Fort Worth, TX 76116
Phone (817) 735-2135

3923 Benbrook Hwy
Fort Worth, TX 76116

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635206400000",
    "number": "1124057997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3921 BENBROOK HWY",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761167802",
            "telephone_number": "817-738-2135",
            "fax_number": "817-763-8784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3921 BENBROOK HWY",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761167802",
            "telephone_number": "817-738-2135",
            "fax_number": "817-763-8784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERRONE PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A",
        "authorized_official_last_name": "PERRONE",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-738-2135",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "01865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; 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.

Verify at the official NPI Registry.