NPIMap

Organization Active NPI

Pharmestate LLC

  • Pharmacy
  • Allen, TX
National Provider Identifier
1184765604
Registry record updated Dec 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
15450 Issued in TX
Legal business name
PHARMESTATE LLC
Practice address
317 Central Expy N
Allen, TX 75013-2631
Phone
(972) 390-9888
Fax
(972) 390-9889
NPI assigned
Feb 8, 2007
Organization subpart
Yes
Parent organization
MEDICINE SHOPPES, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 30, 2015

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

Authorized official

Name
Mr. Bruce McAnally, RPH
Title
Ceo
Phone
(214) 734-8878

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 15450 TX Primary

Addresses

Primary practice location

317 Central Expy N
Allen, TX 75013-2631

Mailing address

317 Central Expy N
Allen, TX 75013-2631
Phone (972) 390-9888

Other identifiers 3

IdentifierTypeStateIssuer
143956MedicaidTX
15450OtherTXTEXAS PHARMACY LICENSE
4588870OtherTXNCPDP NUMBER

Other names 1

  • Allen Family Drug Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Allen Family Drug2 organizations share this tax ID, including this one
Part of
Allen Family Drug

Other organizations with this tax ID 1

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

Locations

317 Central Expy N
Allen, TX 75013
Phone (972) 390-9888

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451433600000",
    "number": "1184765604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 CENTRAL EXPY N",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750132631",
            "telephone_number": "972-390-9888",
            "fax_number": "972-390-9889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 CENTRAL EXPY N",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750132631",
            "telephone_number": "972-390-9888",
            "fax_number": "972-390-9889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMESTATE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDICINE SHOPPES, INC",
        "enumeration_date": "2007-02-08",
        "last_updated": "2015-12-30",
        "status": "A",
        "authorized_official_last_name": "MCANALLY",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "214-734-8878",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "TX",
            "license": "15450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "143956",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS PHARMACY LICENSE",
            "identifier": "15450",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP NUMBER",
            "identifier": "4588870",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Allen Family Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Allen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2015; 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.