Apollocare1 LLC
Organization Active NPI Pharmacy · Corsicana, TX
NPI 1215414768 · NPPES record last updated Jul 26, 2018
Key facts
- NPI
- 1215414768
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pharmacy 333600000X
- Legal business name
- APOLLOCARE1 LLC
- Practice address
- 1397 W 7TH Ave
Corsicana, TX 75110-6357 - Phone
- (903) 602-5102
- Fax
- (903) 602-5106
- NPI assigned
- Jul 26, 2018
- Organization subpart
- No
Authorized official
- Name
- Krunal Parekh
- Title
- Owner
- Phone
- (405) 885-4596
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220718002169 | TX | Part B Supplier - Mass Immunization (Roster Biller Only) | 6305227679 | Practice locations: Corsicana, TX |
National Provider Directory
Locations
1397 W 7th Ave
Corsicana, TX 75110
Phone (903) 602-5102
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | Yes |
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
- Apollo Pharmacy
Other providers in Corsicana, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 26, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.