Organization Active NPI

Trail Creek Pharmacy

  • Community/Retail Pharmacy
  • Euless, TX
National Provider Identifier
1275676439
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
12419 Issued in TX
Legal business name
TRAIL CREEK PHARMACY
Practice address
350 Westpark Way
300
Euless, TX 76040-3958
Phone
(817) 571-3374
Fax
(817) 267-7243
NPI assigned
Feb 15, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
David Holloway
Title
Manager
Phone
(817) 571-3374

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 12419 TX Primary

Addresses

Primary practice location

350 Westpark Way
300
Euless, TX 76040-3958

Mailing address

350 Westpark Way
300
Euless, TX 76040-3958
Phone (817) 571-3374

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275676439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 WESTPARK WAY",
            "address_2": "300",
            "city": "EULESS",
            "state": "TX",
            "postal_code": "760403958",
            "telephone_number": "817-571-3374",
            "fax_number": "817-267-7243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 WESTPARK WAY",
            "address_2": "300",
            "city": "EULESS",
            "state": "TX",
            "postal_code": "760403958",
            "telephone_number": "817-571-3374",
            "fax_number": "817-267-7243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAIL CREEK PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOLLOWAY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "817-571-3374"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "12419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Euless, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.