Matlock Village Family Pharmacy, PLLC

Primary specialty

PharmacyTaxonomy code 333600000X

License

31926 Issued in TX

Legal business name

MATLOCK VILLAGE FAMILY PHARMACY, PLLC

Practice address

6201 Matlock Rd Ste 125
Arlington, TX 76002-2763

Phone

(817) 538-5534

Fax

(817) 538-5441

NPI assigned

Mar 25, 2018

Organization subpart

No

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

Authorized official

Name

Shirley Thomas, R.PH.NPI 1497060750

Title

Pic

Phone

(214) 893-0885

Specialties & licenses 1

Addresses

Other names 1

• Matlock Village Family Pharmacy Doing business as

Locations

Practitioners 1

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

• Shirley Diann Thomas, R.PH.

  • Pharmacist
  • Dallas, TX
  • NPI 1497060750
  NPD Authorized official

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

{
    "created_epoch": "1521936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1306341128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6201 MATLOCK RD STE 125",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760022763",
            "telephone_number": "817-538-5534",
            "fax_number": "817-538-5441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6201 MATLOCK RD STE 125",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760022763",
            "telephone_number": "817-538-5534",
            "fax_number": "817-538-5441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATLOCK VILLAGE FAMILY PHARMACY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-25",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "214-893-0885",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "TX",
            "license": "31926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Matlock Village Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Matlock Emergency Physicians
• Matlock Family Clinic, P.a.
• Matlock Interventional Pain Center LLC
• Matlock Medical Center LLC
• Matlock Obstetrics and Gynecology Associates, P.a
• David Matson
• Virina Matta
• Mattea ENT., P.a.
• Nariah Matthews
• Samuel Scott Matthews, M.D.

• Pharmacy in Arlington, TX
• Providers in Arlington, TX by specialty
• Pharmacy in Texas

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