Organization Active NPI

Midcities Pharmacy Inc

  • Community/Retail Pharmacy
  • Hurst, TX
National Provider Identifier
1124469945
Registry record updated Jan 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28614 Issued in TX
Legal business name
MIDCITIES PHARMACY INC
Practice address
2000 Precinct Line Rd Ste 102
Hurst, TX 76054-3185
Phone
(817) 605-3500
Fax
(817) 605-3501
NPI assigned
Jul 9, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2021

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

Authorized official

Name
Aemad Aslam, RPH, MBA
Title
President
Phone
(469) 235-4515

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 28614 TX Primary
Compounding Pharmacy 3336C0004X
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

2000 Precinct Line Rd Ste 102
Hurst, TX 76054-3185

Mailing address

PO Box 54011
Hurst, TX 76054-4011
Phone (817) 605-3500

Other identifiers 3

IdentifierTypeStateIssuer
149438MedicaidTX
146826MedicaidTX
2141141OtherPK

Other names 1

  • MidCities Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

2000 Precinct Line Rd
Hurst, TX 76054

2000 Precinct Line Rd
Ste 102
Hurst, TX 76054
Phone (817) 605-3500

NPI Registry JSON

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

{
    "created_epoch": "1373328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610841600000",
    "number": "1124469945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 54011",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760544011",
            "telephone_number": "817-605-3500",
            "fax_number": "817-605-3501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 PRECINCT LINE RD STE 102",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760543185",
            "telephone_number": "817-605-3500",
            "fax_number": "817-605-3501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDCITIES PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-09",
        "last_updated": "2021-01-17",
        "certification_date": "2021-01-17",
        "status": "A",
        "authorized_official_last_name": "ASLAM",
        "authorized_official_first_name": "AEMAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "469-235-4515",
        "authorized_official_credential": "RPH, MBA"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "28614",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149438",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146826",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2141141",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MidCities Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MidCities Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hurst, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2021; 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.