Galactical Commercial LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

31916 Issued in TX

Legal business name

GALACTICAL COMMERCIAL LLC

Doing business as

Instant RX Pharmacy

Practice address

2651 E Broad St Ste 101
Mansfield, TX 76063-3899

Phone

(817) 502-3777

Fax

(817) 502-3778

NPI assigned

Apr 2, 2018

Organization subpart

No

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

Authorized official

Name

Jacky Truong, PHARMACIST

Title

Pic

Phone

(817) 502-3777

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Instant RX Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1522627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532649600000",
    "number": "1235635046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2651 E BROAD ST STE 101",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760633899",
            "telephone_number": "817-502-3777",
            "fax_number": "817-502-3778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2651 E BROAD ST STE 101",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760633899",
            "telephone_number": "817-502-3777",
            "fax_number": "817-502-3778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALACTICAL COMMERCIAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-02",
        "last_updated": "2018-07-27",
        "status": "A",
        "authorized_official_last_name": "TRUONG",
        "authorized_official_first_name": "JACKY",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "817-502-3777",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "31916",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2176649",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Instant RX Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephanie D Fry
• Michael L Fussell, RRT
• FW Medical Supplies LLC
• Amanda J Gaccetta, DO
• Laurence A. Gadbois Jr., FNP-C
• Doyle Fairchild Gallman Jr., D.O.
• Jeffrey S Gallup, LPC
• Gallus Detox Dallas
• Amanda Rene Gambrell, PTA
• Kehila Karolina Gamez, MSN, APRN, FNP-C

• Community/Retail Pharmacy in Mansfield, TX
• Providers in Mansfield, 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 Jul 27, 2018; 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.