Organization Active NPI

Apollocare1 LLC

Doing business as Apollo Pharmacy

  • Pharmacy
  • Corsicana, TX
National Provider Identifier
1215414768
Registry record updated Jul 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
APOLLOCARE1 LLC
Doing business as
Apollo Pharmacy
Practice address
1397 W 7TH Ave
Corsicana, TX 75110-6357
Phone
(903) 602-5102
Fax
(903) 602-5106
NPI assigned
Jul 26, 2018
Last updated
Jul 26, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2018

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

Authorized official

Name
Krunal Parekh
Title
Owner
Phone
(405) 885-4596

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

Addresses

Primary practice location

1397 W 7TH Ave
Corsicana, TX 75110-6357

Mailing address

1397 W 7TH Ave
Corsicana, TX 75110-6357
Phone (405) 885-4596

Other names 1

  • Apollo Pharmacy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220718002169 TX Part B Supplier - Mass Immunization (Roster Biller Only) 6305227679 Practice locations: Corsicana, TX

National Provider Directory

National Provider Directory

Locations

1397 W 7th Ave
Corsicana, TX 75110
Phone (903) 602-5102

NPI Registry JSON

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

{
    "created_epoch": "1532563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532563200000",
    "number": "1215414768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1397 W 7TH AVE",
            "city": "CORSICANA",
            "state": "TX",
            "postal_code": "751106357",
            "telephone_number": "405-885-4596",
            "fax_number": "903-602-5106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1397 W 7TH AVE",
            "city": "CORSICANA",
            "state": "TX",
            "postal_code": "751106357",
            "telephone_number": "903-602-5102",
            "fax_number": "903-602-5106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APOLLOCARE1 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-26",
        "last_updated": "2018-07-26",
        "status": "A",
        "authorized_official_last_name": "PAREKH",
        "authorized_official_first_name": "KRUNAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-885-4596"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Apollo Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Apollo Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Corsicana, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2018; 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.