Organization Active NPI

Fillcera LLC

  • Pharmacy
  • Richardson, TX
National Provider Identifier
1285416255
Registry record updated Oct 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
FILLCERA LLC
Practice address
1651 N Collins Blvd Ste 222
Richardson, TX 75080-3681
Phone
(469) 777-4669
Fax
(469) 777-4668
NPI assigned
Oct 16, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2023

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

Authorized official

Name
Wesam S Samour, RPHNPI 1750801700
Title
Pharmacist in Chargeq
Phone
(708) 985-5485

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
Pharmacy 333600000X Primary

Addresses

Primary practice location

1651 N Collins Blvd Ste 222
Richardson, TX 75080-3681

Mailing address

1651 N Collins Blvd Ste 222
Richardson, TX 75080-3681
Phone (469) 777-4669

Other names 1

  • Fillcera Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

1651 N Collins Blvd
Ste 222
Richardson, TX 75080
Phone (469) 777-4669

Practitioners & affiliated clinicians

Practitioners 2

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": "1697414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697414400000",
    "number": "1285416255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1651 N COLLINS BLVD STE 222",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750803681",
            "telephone_number": "469-777-4669",
            "fax_number": "469-777-4668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1651 N COLLINS BLVD STE 222",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750803681",
            "telephone_number": "469-777-4669",
            "fax_number": "469-777-4668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FILLCERA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-16",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A",
        "authorized_official_last_name": "SAMOUR",
        "authorized_official_first_name": "WESAM",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGEQ",
        "authorized_official_telephone_number": "708-985-5485",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fillcera Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richardson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; 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.