Organization Active NPI

Macprince Pharmacy Inc.

  • Community/Retail Pharmacy
  • Fort Worth, TX
National Provider Identifier
1235763277
Registry record updated Aug 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
MACPRINCE PHARMACY INC.
Practice address
6080 S Hulen St Ste 320
Fort Worth, TX 76132-2634
Phone
(682) 250-2229
Fax
(682) 224-3820
NPI assigned
Feb 28, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2022

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

Authorized official

Name
Prince Chimezie Ogbonna, PHARMACISTNPI 1629196662
Title
President/Owner
Phone
(806) 626-1079

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

6080 S Hulen St Ste 320
Fort Worth, TX 76132-2634

Mailing address

6080 S Hulen St Ste 320
Fort Worth, TX 76132-2634
Phone (682) 250-2229

Other identifiers 1

IdentifierTypeStateIssuer
150302MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Computer-rx Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20210601001547 TX DME Supplier - Pharmacy 1850790478 Practice locations: Fort Worth, TX
O20210811003063 TX Part B Supplier - Pharmacy 1850790478 Practice locations: Fort Worth, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2246277Macprince Pharmacy, Inc6080 S Hulen Street Suite 320, Fort Worth, TX 76132Certificate of waiverDec 21, 2027

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Macprince Pharmacy6080 S Hulen St, Fort Worth, TX 76132-2634(806) 626-1079 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Heat & Cold Applications|Canes and/or Crutches|Walkers|Orthoses: Off-Th… Accepts assignmentParticipating since Dec 11, 2020

National Provider Directory

National Provider Directory

Locations

3401 Altamesa Blvd
Ste 122
Fort Worth, TX 76133
Phone (682) 250-2229

6080 S Hulen St
Ste 320
Fort Worth, TX 76132
Phone (682) 250-2229

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1582848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661385600000",
    "number": "1235763277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6080 S HULEN ST STE 320",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761322634",
            "telephone_number": "682-250-2229",
            "fax_number": "682-224-3820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6080 S HULEN ST STE 320",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761322634",
            "telephone_number": "682-250-2229",
            "fax_number": "682-224-3820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACPRINCE PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-28",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A",
        "authorized_official_last_name": "OGBONNA",
        "authorized_official_first_name": "PRINCE",
        "authorized_official_middle_name": "CHIMEZIE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "806-626-1079",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150302",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Computer-rx",
            "affiliation": "N",
            "endpointDescription": "software",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6080 S Hulen St Ste 320",
            "city": "Fort Worth",
            "state": "TX",
            "country_code": "US",
            "postal_code": "761322634",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.