Organization Active NPI

Northstar Pharmacy LLC

Doing business as Northstar Pharmacy

  • Community/Retail Pharmacy
  • Benbrook, TX
National Provider Identifier
1205470085
Registry record updated May 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
NORTHSTAR PHARMACY LLC
Doing business as
Northstar Pharmacy
Practice address
6014 Southwest Blvd
Benbrook, TX 76109
Phone
(469) 296-8132
Fax
(469) 214-5763
NPI assigned
Nov 4, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2021

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

Authorized official

Name
Rima PatelNPI 1548531130
Title
Owner
Phone
(734) 658-4418

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

6014 Southwest Blvd
Benbrook, TX 76109

Mailing address

6014 Southwest Blvd
Benbrook, TX 76109-7136

Other names 1

  • NORTHSTAR PHARMACY Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL 4692968132

National Provider Directory

National Provider Directory

Locations

6014 Southwest Blvd
Benbrook, TX 76109
Phone (469) 296-8132

915 W Parker Rd
Ste 321B
Plano, TX 75023

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": "1572825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620259200000",
    "number": "1205470085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6014 SOUTHWEST BLVD",
            "city": "BENBROOK",
            "state": "TX",
            "postal_code": "761097136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6014 SOUTHWEST BLVD",
            "city": "BENBROOK",
            "state": "TX",
            "postal_code": "76109",
            "telephone_number": "469-296-8132",
            "fax_number": "469-214-5763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSTAR PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-04",
        "last_updated": "2021-05-06",
        "certification_date": "2021-04-08",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "RIMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-658-4418"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "4692968132",
            "affiliation": "N",
            "address_1": "915 W Parker Rd Ste 321B",
            "city": "Plano",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750237136",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "NORTHSTAR PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NORTHSTAR PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Benbrook, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2021; 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.