Meadowbrook Pharmacy, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

12121 Issued in TX

Legal business name

MEADOWBROOK PHARMACY, INC.

Practice address

6637 Meadowbrook Dr
Fort Worth, TX 76112-5240

Phone

(817) 451-5611

Fax

(817) 457-8804

NPI assigned

Nov 30, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Lawrence George Ludington, RPH

Title

President

Phone

(817) 451-5613

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• meadowbrook pharmacy Doing business as

Locations

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205904299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6637 MEADOWBROOK DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761125240",
            "telephone_number": "817-451-5611",
            "fax_number": "817-457-8804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6637 MEADOWBROOK DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761125240",
            "telephone_number": "817-451-5611",
            "fax_number": "817-457-8804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEADOWBROOK PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LUDINGTON",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-451-5613",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "12121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "VP1430540",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "meadowbrook pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Karen Meador, MD
• Martha Meador, LPC
• Patty Ann Meador
• Brian Lee Meadors, PHARM.D.
• Meadow Lactation Care LLC
• Colton Dwayne Meadows
• Meals on Wheels, Inc. of Tarrant County
• Connie Dyweece Means, MSN, RN
• Kassie Means
• Jessica Lynn Mears, AGACNP

• Community/Retail Pharmacy in Fort Worth, TX
• Providers in Fort Worth, 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 Aug 22, 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.