Organization Active NPI

National Pharmacy of Texas

  • Long Term Care Pharmacy
  • Fort Worth, TX
National Provider Identifier
1205033859
Registry record updated Sep 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
25606 Issued in TX
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 AMERICAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 15, 2014

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)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.