Organization Active NPI

Preferred Phamily Pharmacy & Compounding

  • Community/Retail Pharmacy
  • Frisco, TX
National Provider Identifier
1124472063
Registry record updated Jan 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
30751 Issued in TX
Legal business name
PREFERRED PHAMILY PHARMACY & COMPOUNDING
Practice address
7000 Parkwood Blvd Ste F400
Frisco, TX 75034-7415
Phone
(214) 619-6060
Fax
(214) 619-6061
NPI assigned
Apr 18, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2020

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

Authorized official

Name
Venkata Valleti
Title
Officer
Phone
(214) 619-6060

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 30751 TX Primary

Addresses

Primary practice location

7000 Parkwood Blvd Ste F400
Frisco, TX 75034-7415

Mailing address

7000 Parkwood Blvd Ste F400
Frisco, TX 75034-7415
Phone (214) 619-6060

Other identifiers 2

IdentifierTypeStateIssuer
2159553OtherPK
149577MedicaidTX

Other names 1

  • Unicorn Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

3303 Unicorn Lake Blvd
Ste 250
Denton, TX 76210

7000 Parkwood Blvd
Ste F400
Frisco, TX 75034
Phone (214) 619-6060

NPI Registry JSON

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

{
    "created_epoch": "1460937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579824000000",
    "number": "1124472063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 PARKWOOD BLVD STE F400",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750347415",
            "telephone_number": "214-619-6060",
            "fax_number": "214-619-6061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 PARKWOOD BLVD STE F400",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750347415",
            "telephone_number": "214-619-6060",
            "fax_number": "214-619-6061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREFERRED PHAMILY PHARMACY & COMPOUNDING",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-18",
        "last_updated": "2020-01-24",
        "certification_date": "2020-01-24",
        "status": "A",
        "authorized_official_last_name": "VALLETI",
        "authorized_official_first_name": "VENKATA",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "214-619-6060"
    },
    "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": "30751",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2159553",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149577",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Unicorn Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2020; 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.