Pharmprorx LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

28032 Issued in TX

Legal business name

PHARMPRORX LLC

Practice address

1105 Santa Fe Dr
Ste 107
Weatherford, TX 76086-5811

Phone

(682) 262-1506

Fax

(817) 599-9673

NPI assigned

Sep 21, 2006

Organization subpart

No

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

Authorized official

Name

Todd Siluk

Title

Pic

Phone

(832) 581-5886

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• PHARMPRORX Doing business as

Locations

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412899200000",
    "number": "1174622005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 SANTA FE DR",
            "address_2": "STE 107",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760865811",
            "telephone_number": "682-262-1506",
            "fax_number": "972-332-3672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 SANTA FE DR",
            "address_2": "STE 107",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760865811",
            "telephone_number": "682-262-1506",
            "fax_number": "817-599-9673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMPRORX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2014-10-10",
        "status": "A",
        "authorized_official_last_name": "SILUK",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "832-581-5886"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "TX",
            "license": "28032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2094072",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PHARMPRORX",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robert Craig Penny, DDS MS
• Perfect Balance Healthcare Advancements LLC
• Allison Peters
• Lena Wilson Peterson, RN
• Thien Pham, DO
• Ashley Phillips, RD/LD
• Robert E Phillips, DDS
• Shae Phillips, DPT
• Physicare Ancillary Service Corporation
• Physicare, Inc.

• Long Term Care Pharmacy in Weatherford, TX
• Providers in Weatherford, TX by specialty
• Long Term Care Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2014; 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.