Organization Active NPI

Adc Pharmacy Solutions, LLC

  • Long Term Care Pharmacy
  • Amarillo, TX
National Provider Identifier
1194408807
Registry record updated Jun 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
ADC PHARMACY SOLUTIONS, LLC
Practice address
5503 SW 9TH Ave Ste B
Amarillo, TX 79106-4124
Phone
(806) 310-9226
Fax
(806) 437-1387
NPI assigned
Aug 9, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2024

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

Authorized official

Name
Stan J/. Britten, RPH
Title
Owner
Phone
(806) 353-2200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

5503 SW 9TH Ave Ste B
Amarillo, TX 79106-4124

Mailing address

PO Box 10003
Amarillo, TX 79116-0003
Phone (806) 310-9226

Other names 1

  • SJB Entertainment, LLC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240118001427 TX DME Supplier - Pharmacy 3375995079 Practice locations: Amarillo, TX

National Provider Directory

National Provider Directory

Locations

5503 SW 9th Ave
Ste B
Amarillo, TX 79106
Phone (806) 310-9226

Practitioners & affiliated clinicians

Practitioners 1

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": "1691539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719446400000",
    "number": "1194408807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10003",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791160003",
            "telephone_number": "806-310-9226",
            "fax_number": "806-437-1387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5503 SW 9TH AVE STE B",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791064124",
            "telephone_number": "806-310-9226",
            "fax_number": "806-437-1387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADC PHARMACY SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-09",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A",
        "authorized_official_last_name": "BRITTEN",
        "authorized_official_first_name": "STAN",
        "authorized_official_middle_name": "J/.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "806-353-2200",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SJB Entertainment, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "SJB Entertainment, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Amarillo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; 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.

Verify at the official NPI Registry.