Organization Active NPI

Royal Family Pharmacy LLC

  • Community/Retail Pharmacy
  • Plano, TX
National Provider Identifier
1205668274
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
ROYAL FAMILY PHARMACY LLC
Practice address
525 Shiloh Rd Ste 1200
Plano, TX 75074-7263
Phone
(469) 324-2900
Fax
(469) 519-4701
NPI assigned
Aug 17, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

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

Authorized official

Name
Barry NzegwuNPI 1366007353
Title
Owner
Phone
(469) 324-2900

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

525 Shiloh Rd Ste 1200
Plano, TX 75074-7263

Mailing address

525 Shiloh Rd Ste 1200
Plano, TX 75074-7263
Phone (469) 324-2900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241217000467 TX Part B Supplier - Mass Immunization (Roster Biller Only) 6204363104 Practice locations: Plano, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2313304Royal Family Pharmacy525 Shiloh Rd Ste 1200, Plano, TX 75074Certificate of waiverOct 28, 2026

National Provider Directory

National Provider Directory

Locations

525 Shiloh Rd
Ste 1200
Plano, TX 75074
Phone (469) 324-2900

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": "1723852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733702400000",
    "number": "1205668274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 SHILOH RD STE 1200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750747263",
            "telephone_number": "469-324-2900",
            "fax_number": "469-519-4701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 SHILOH RD STE 1200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750747263",
            "telephone_number": "469-324-2900",
            "fax_number": "469-519-4701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYAL FAMILY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-17",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-03",
        "status": "A",
        "authorized_official_last_name": "NZEGWU",
        "authorized_official_first_name": "BARRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-324-2900"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.