City Specialty Pharmacy LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

31547 Issued in TX

Legal business name

CITY SPECIALTY PHARMACY LLC

Practice address

204 WJ Boaz Rd Ste 300
Saginaw, TX 76179-4396

Phone

(682) 593-9595

Fax

(682) 593-9594

NPI assigned

Aug 8, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Deepthi Gujarathi

Title

Owner

Phone

(205) 253-9908

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1502150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1205351574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 WJ BOAZ RD STE 300",
            "city": "SAGINAW",
            "state": "TX",
            "postal_code": "761794396",
            "telephone_number": "682-593-9595",
            "fax_number": "682-593-9594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 WJ BOAZ RD STE 300",
            "city": "SAGINAW",
            "state": "TX",
            "postal_code": "761794396",
            "telephone_number": "682-593-9595",
            "fax_number": "682-593-9594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY SPECIALTY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-08",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GUJARATHI",
        "authorized_official_first_name": "DEEPTHI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-253-9908"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "TX",
            "license": "31547",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS STATE BOARD OF PHARMACY",
            "identifier": "31547",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ethan Chandler, MD
• Giovanna Charles
• Jessica Gutierrez Chavez
• Miranda Elizabeth Faye Chipps
• Chiropractic & Rehab Centers, Inc (Chiropractic & Rehab of Saginaw)
• Shelby Claridge-Davenport, RN
• Kelly Clipper, DPT
• Keith Cole, COTA/L
• Marlise Maria Coulon, RPH
• Ariel Nicolette Couvillion, RN, BSN

• Long Term Care Pharmacy in Saginaw, TX
• Providers in Saginaw, TX by specialty
• Long Term Care Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.