Uhs Retail Pharmacy, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

29773 Issued in TX

Legal business name

UHS RETAIL PHARMACY, LLC

Practice address

5012 S US Highway 75 Ste 140
Denison, TX 75020-4599

Phone

(903) 327-8808

Fax

(903) 327-8909

NPI assigned

Feb 26, 2015

Organization subpart

No

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

Authorized official

Name

Marvin Pember, BSC PHARMACY

Title

Ceo

Phone

(610) 302-3300

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• CentRx Pharmacy at Texoma Doing business as

Locations

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

{
    "created_epoch": "1424908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603756800000",
    "number": "1205228376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5012 S US HIGHWAY 75 STE 140",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750204599",
            "telephone_number": "903-446-6441",
            "fax_number": "903-416-6443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5012 S US HIGHWAY 75 STE 140",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750204599",
            "telephone_number": "903-327-8808",
            "fax_number": "903-327-8909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UHS RETAIL PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-26",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A",
        "authorized_official_last_name": "PEMBER",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "610-302-3300",
        "authorized_official_credential": "BSC PHARMACY"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "29773",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2151980",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148019",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CentRx Pharmacy at Texoma",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CentRx Pharmacy at Texoma",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Uhs of Texoma, Inc
• Uhs of Texoma, Inc
• Uhs of Texoma, Inc
• Uhs of TRC, Inc
• Uhs of TRC, Inc
• Una Starr
• Debbie Lynn Underwood
• Mindy Michelle Underwood, OTR
• United Methodist Retirement Home, Sherman-McKinney District, Inc.
• Gregory Scott Van Blarcum, M.D.

• Community/Retail Pharmacy in Denison, TX
• Providers in Denison, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; 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.