Organization Active NPI

Amarillo Diagnostic Clinic RX Inc

  • Long Term Care Pharmacy
  • Amarillo, TX
National Provider Identifier
1124506894
Registry record updated Aug 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
15091 Issued in TX
Legal business name
AMARILLO DIAGNOSTIC CLINIC RX INC
Practice address
6700 SW 9TH Ave
Amarillo, TX 79106-1701
Phone
(806) 358-0331
NPI assigned
Aug 3, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2018

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

Authorized official

Name
Stan Britten, RPH
Title
Pres
Phone
(806) 353-2200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X 15091 TX Primary

Addresses

Primary practice location

6700 SW 9TH Ave
Amarillo, TX 79106-1701

Mailing address

PO Box 10003
Amarillo, TX 79116-0003
Phone (806) 353-2200

Other identifiers 1

IdentifierTypeStateIssuer
1468594MedicaidTX

National Provider Directory

National Provider Directory
Tax ID family
Adc Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1533254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533254400000",
    "number": "1124506894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10003",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791160003",
            "telephone_number": "806-353-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 SW 9TH AVE",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061701",
            "telephone_number": "806-358-0331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMARILLO DIAGNOSTIC CLINIC RX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-03",
        "last_updated": "2018-08-03",
        "status": "A",
        "authorized_official_last_name": "BRITTEN",
        "authorized_official_first_name": "STAN",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "806-353-2200",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "TX",
            "license": "15091",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1468594",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2018; 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.