NPIMap

Organization Active NPI

Uhs Retail Pharmacy LLC

  • Community/Retail Pharmacy
  • Mission, TX
National Provider Identifier
1235501974
Registry record updated Oct 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
30133 Issued in TX
Legal business name
UHS RETAIL PHARMACY LLC
Practice address
900 E Interstate Highway 2 Ste a
Mission, TX 78572-5757
Phone
(956) 445-5383
Fax
(956) 585-0023
NPI assigned
Oct 21, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2016

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

Authorized official

Name
David Chan, BSC PHARMACY
Title
Managing Consultant
Phone
(775) 440-7424

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 30133 TX Primary

Addresses

Primary practice location

900 E Interstate Highway 2 Ste a
Mission, TX 78572-5757

Mailing address

2345 E Prater Way
Sparks, NV 89434-9600
Phone (775) 432-7907

Other identifiers 2

IdentifierTypeStateIssuer
2154458OtherPK
148014MedicaidTX

Other names 1

  • CentRx Pharmacy at Mission Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Centrx Pharmacy Northern Nevada12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1445385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477526400000",
    "number": "1235501974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2345 E PRATER WAY",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894349600",
            "telephone_number": "775-432-7907",
            "fax_number": "775-343-0102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 E INTERSTATE HIGHWAY 2 STE A",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785725757",
            "telephone_number": "956-445-5383",
            "fax_number": "956-585-0023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UHS RETAIL PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-21",
        "last_updated": "2016-10-27",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MANAGING CONSULTANT",
        "authorized_official_telephone_number": "775-440-7424",
        "authorized_official_credential": "BSC PHARMACY"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "30133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2154458",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148014",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CentRx Pharmacy at Mission",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mission, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2016; 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.