Organization Active NPI

Fifty50 Foods LP

Doing business as Fifty50 Pharmacy

  • Durable Medical Equipment & Medical Supplies
  • Carrollton, TX
National Provider Identifier
1174577621
Registry record updated Aug 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0086459 Issued in TX
Legal business name
FIFTY50 FOODS LP
Doing business as
Fifty50 Pharmacy
Practice address
1420 Valwood Pkwy
Suite 205
Carrollton, TX 75006-8312
Phone
(972) 243-2727
Fax
(972) 243-3111
NPI assigned
May 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2008

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

Authorized official

Name
George R Lynch
Title
President/Owner
Phone
(972) 243-2727

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 0086459 TX Primary

Addresses

Primary practice location

1420 Valwood Pkwy
Suite 205
Carrollton, TX 75006-8312

Mailing address

1420 Valwood Pkwy
Suite 205
Carrollton, TX 75006-8312
Phone (972) 243-2727

Other identifiers 1

IdentifierTypeStateIssuer
014330701MedicaidTX

Other names 1

  • Fifty50 Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

1420 Valwood Pkwy
Ste 205
Carrollton, TX 75006
Phone (800) 746-7505

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219363200000",
    "number": "1174577621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 VALWOOD PKWY",
            "address_2": "SUITE 205",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750068312",
            "telephone_number": "972-243-2727",
            "fax_number": "972-243-3111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 VALWOOD PKWY",
            "address_2": "SUITE 205",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750068312",
            "telephone_number": "972-243-2727",
            "fax_number": "972-243-3111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIFTY50 FOODS LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2008-08-22",
        "status": "A",
        "authorized_official_last_name": "LYNCH",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "972-243-2727"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0086459",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "014330701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fifty50 Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carrollton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2008; 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.