Active NPI
National Pharmacy of Texas
- Long Term Care Pharmacy
- Fort Worth, TX
National Provider Identifier
1205033859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- License
- 25606
- Legal business name
- NATIONAL PHARMACY OF TEXAS
- Practice address
- 2631 Gravel Dr
Fort Worth, TX 76118-6982 - Phone
- (817) 590-0073
- Fax
- (817) 590-2203
- NPI assigned
- Jun 28, 2007
- Organization subpart
- Yes
- Parent organization
- PHARMACY CORPORATION OF AMERICA
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Thomas A Caneris
- Title
- Vice President
- Phone
- (502) 627-7135
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | 25606 | TX | Primary |
Addresses
Primary practice location
2631 Gravel Dr
Fort Worth, TX 76118-6982
Mailing address
2631 Gravel Dr
Fort Worth, TX 76118-6982
Phone (817) 590-0073
National Provider Directory
National Provider Directory- Part of
- Beverly Enterrises
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182988800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1410739200000",
"number": "1205033859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2631 GRAVEL DR",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761186982",
"telephone_number": "817-590-0073",
"fax_number": "817-590-2252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2631 GRAVEL DR",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761186982",
"telephone_number": "817-590-0073",
"fax_number": "817-590-2203"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NATIONAL PHARMACY OF TEXAS",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PHARMACY CORPORATION OF AMERICA",
"enumeration_date": "2007-06-28",
"last_updated": "2014-09-15",
"status": "A",
"authorized_official_last_name": "CANERIS",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "502-627-7135",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "TX",
"license": "25606",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.