NPIMap

Organization Active NPI

Doctor's Plaza Pharmacy

  • Community/Retail Pharmacy
  • Bedford, TX
National Provider Identifier
1285760231
Registry record updated Jul 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
23336 Issued in TX
Legal business name
DOCTOR'S PLAZA PHARMACY
Practice address
1305 Airport Fwy Ste 110
Bedford, TX 76021-6603
Phone
(817) 625-7000
Fax
(817) 625-7030
NPI assigned
Feb 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2007

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

Authorized official

Name
Mr. Francis E Njie
Title
Manager
Phone
(817) 625-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 23336 TX Primary

Addresses

Primary practice location

1305 Airport Fwy Ste 110
Bedford, TX 76021-6603

Mailing address

1305 Airport Fwy Ste 110
Bedford, TX 76021-6603
Phone (817) 625-7000

Other identifiers 1

IdentifierTypeStateIssuer
145437MedicaidTX

National Provider Directory

National Provider Directory
Tax ID family
Doctor's Plaza Pharmacy5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

1305 Airport Fwy
Ste 110
Bedford, TX 76021
Phone (817) 625-7000

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184284800000",
    "number": "1285760231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 AIRPORT FWY STE 110",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760216603",
            "telephone_number": "817-625-7000",
            "fax_number": "817-625-7030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 AIRPORT FWY STE 110",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760216603",
            "telephone_number": "817-625-7000",
            "fax_number": "817-625-7030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTOR'S PLAZA PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2007-07-13",
        "status": "A",
        "authorized_official_last_name": "NJIE",
        "authorized_official_first_name": "FRANCIS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "817-625-7000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "23336",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145437",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2007; 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.