Organization Active NPI

Jentrify RX, LLC

Doing business as Jentrify RX

  • Community/Retail Pharmacy
  • Grapevine, TX
National Provider Identifier
1174217244
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
JENTRIFY RX, LLC
Doing business as
Jentrify RX
Practice address
2637 Ira E Woods Ave Ste 200
Grapevine, TX 76051-9012
Phone
(817) 416-2222
Fax
(817) 416-2223
NPI assigned
Jun 2, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2024

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

Authorized official

Name
Jentri Huffman
Title
Owner
Phone
(817) 416-2222

Specialties & licenses 2

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

Addresses

Primary practice location

2637 Ira E Woods Ave Ste 200
Grapevine, TX 76051-9012

Mailing address

2637 Ira E Woods Ave Ste 200
Grapevine, TX 76051-9012
Phone (817) 416-2222

Other names 1

  • JENTRIFY RX Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1685664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712102400000",
    "number": "1174217244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2637 IRA E WOODS AVE STE 200",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760519012",
            "telephone_number": "817-416-2222",
            "fax_number": "817-416-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2637 IRA E WOODS AVE STE 200",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760519012",
            "telephone_number": "817-416-2222",
            "fax_number": "817-416-2223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENTRIFY RX, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-02",
        "last_updated": "2024-04-03",
        "certification_date": "2023-12-04",
        "status": "A",
        "authorized_official_last_name": "HUFFMAN",
        "authorized_official_first_name": "JENTRI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-416-2222"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JENTRIFY RX",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "JENTRIFY RX",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grapevine, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; 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.