Organization Active NPI

Lone Star Pharmacy LTD

  • Long Term Care Pharmacy
  • Garland, TX
National Provider Identifier
1124182373
Registry record updated Jun 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
22335 Issued in TX
Legal business name
LONE STAR PHARMACY LTD
Practice address
1417 E Interstate 30
Ste 3
Garland, TX 75043-4786
Phone
(972) 303-7572
Fax
(972) 303-5470
NPI assigned
Dec 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2011

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

Authorized official

Name
Thomas Caneris
Title
Vice President
Phone
(502) 627-7555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X 22335 TX Primary

Addresses

Primary practice location

1417 E Interstate 30
Ste 3
Garland, TX 75043-4786

Mailing address

PO Box 409244
Atlanta, GA 30384-9244
Phone (813) 318-6135

Other identifiers 1

IdentifierTypeStateIssuer
4526399OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • PharMerica Doing business as

National Provider Directory

National Provider Directory

Locations

1417 E Interstate 30
Ste 3
Garland, TX 75043
Phone (972) 303-7572

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309392000000",
    "number": "1124182373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 409244",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303849244",
            "telephone_number": "813-318-6135",
            "fax_number": "813-318-6346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1417 E INTERSTATE 30",
            "address_2": "STE 3",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750434786",
            "telephone_number": "972-303-7572",
            "fax_number": "972-303-5470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONE STAR PHARMACY LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2011-06-30",
        "status": "A",
        "authorized_official_last_name": "CANERIS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "502-627-7555"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "TX",
            "license": "22335",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4526399",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PharMerica",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Garland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2011; 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.