Organization Active NPI

Melrose Pharmacy LLC

  • Community/Retail Pharmacy
  • Mansfield, TX
National Provider Identifier
1124459870
Registry record updated Dec 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28907 Issued in TX
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

Updated by the provider on Dec 6, 2013

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.