Active NPI
Melrose Pharmacy LLC
- Community/Retail Pharmacy
- Mansfield, TX
National Provider Identifier
1124459870
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 28907
- Legal business name
- MELROSE PHARMACY LLC
- Practice address
- 2860 Highway 157 N Ste 120
Mansfield, TX 76063-8883 - Phone
- (817) 453-4444
- NPI assigned
- Dec 6, 2013
- 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
- Teresa B Nguyen, PHARMD
- Title
- Officer
- Phone
- (817) 453-4444
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 28907 | TX | Primary |
Addresses
Primary practice location
2860 Highway 157 N Ste 120
Mansfield, TX 76063-8883
Mailing address
2860 Highway 157 N Ste 120
Mansfield, TX 76063-8883
Phone (817) 453-4444
National Provider Directory
National Provider DirectoryLocations
2860 Highway 157 N
Ste 120
Mansfield, TX 76063
Phone (817) 453-4444
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386288000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1386288000000",
"number": "1124459870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2860 HIGHWAY 157 N STE 120",
"city": "MANSFIELD",
"state": "TX",
"postal_code": "760638883",
"telephone_number": "817-453-4444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2860 HIGHWAY 157 N STE 120",
"city": "MANSFIELD",
"state": "TX",
"postal_code": "760638883",
"telephone_number": "817-453-4444"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MELROSE PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-12-06",
"last_updated": "2013-12-06",
"status": "A",
"authorized_official_last_name": "NGUYEN",
"authorized_official_first_name": "TERESA",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "OFFICER",
"authorized_official_telephone_number": "817-453-4444",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "TX",
"license": "28907",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mansfield, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.