Organization Active NPI

Advanced Prescription Services Inc

  • Long Term Care Pharmacy
  • Garland, TX
National Provider Identifier
1215227103
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
27630 Issued in TX
Legal business name
ADVANCED PRESCRIPTION SERVICES INC
Practice address
3641 Broadway Blvd Ste 100-B
Garland, TX 75043-1608
Phone
(214) 703-9100
Fax
(214) 703-9102
NPI assigned
Apr 12, 2011
Last updated
Oct 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2025

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

Authorized official

Name
Douglas Robert Russell, RPH
Title
Ceo
Phone
(502) 817-8620

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Long Term Care Pharmacy 3336L0003X 27630 TX Primary

Addresses

Primary practice location

3641 Broadway Blvd Ste 100-B
Garland, TX 75043-1608

Mailing address

3641 Broadway Blvd Ste 100-B
Garland, TX 75043-1608
Phone (214) 703-9100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250924002360 TX Part B Supplier - Mass Immunization (Roster Biller Only) 9133624851 Practice locations: Garland, TX

National Provider Directory

National Provider Directory

Locations

3641 Broadway Blvd
Ste 100B
Garland, TX 75043
Phone (214) 703-9100

3671 Broadway Blvd
Ste 300
Garland, TX 75043

NPI Registry JSON

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

{
    "created_epoch": "1302566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761004800000",
    "number": "1215227103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3641 BROADWAY BLVD STE 100-B",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750431608",
            "telephone_number": "214-703-9100",
            "fax_number": "214-703-9102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3641 BROADWAY BLVD STE 100-B",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750431608",
            "telephone_number": "214-703-9100",
            "fax_number": "214-703-9102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PRESCRIPTION SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-12",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "502-817-8620",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "TX",
            "license": "27630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.