Active NPI
Celina Drug Incorporated
- Community/Retail Pharmacy
- Celina, TX
National Provider Identifier
1144266263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 25103
- Legal business name
- CELINA DRUG INCORPORATED
- Practice address
- 701 N Preston Rd
Suite 210
Celina, TX 75009-3763 - Phone
- (972) 382-2832
- Fax
- (972) 382-2850
- NPI assigned
- Jun 20, 2006
- 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
- Jai Harris-Ellis
- Title
- Pharmacy Manager
- Phone
- (972) 832-2832
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 25103 | TX | Primary |
Addresses
Primary practice location
701 N Preston Rd
Suite 210
Celina, TX 75009-3763
Mailing address
701 N Preston Rd
Suite 210
Celina, TX 75009-3763
Phone (972) 382-2832
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2094061 | Other | PK |
Other names 1
- CELINA DRUG
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120803000593 | TX | Part B Supplier - Mass Immunization (Roster Biller Only) | 0941456198 | Practice locations: Celina, TX |
National Provider Directory
National Provider DirectoryLocations
701 N Preston Rd
Ste 210
Celina, TX 75009
Phone (972) 382-2832
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Celina, TX
- NPI 1841437746
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150761600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1468368000000",
"number": "1144266263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 N PRESTON RD",
"address_2": "SUITE 210",
"city": "CELINA",
"state": "TX",
"postal_code": "750093763",
"telephone_number": "972-382-2832",
"fax_number": "972-382-2850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 N PRESTON RD",
"address_2": "SUITE 210",
"city": "CELINA",
"state": "TX",
"postal_code": "750093763",
"telephone_number": "972-382-2832",
"fax_number": "972-382-2850"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CELINA DRUG INCORPORATED",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-20",
"last_updated": "2016-07-13",
"status": "A",
"authorized_official_last_name": "HARRIS-ELLIS",
"authorized_official_first_name": "JAI",
"authorized_official_title_or_position": "PHARMACY MANAGER",
"authorized_official_telephone_number": "972-832-2832"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "TX",
"license": "25103",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2094061",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "CELINA DRUG",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Celina, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.