Active NPI
Medicine Store Pharmacy
- Community/Retail Pharmacy
- Ft Worth, TX
National Provider Identifier
1306868476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 18669
- Legal business name
- MEDICINE STORE PHARMACY
- Doing business as
- RXpress Pharmacy
- Practice address
- 1000 W Weatherford St
Ft Worth, TX 76102-1842 - Phone
- (866) 405-0432
- Fax
- (866) 797-0302
- NPI assigned
- Jul 24, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Lewis Alan Hall, RPH
- Title
- President
- Phone
- (866) 405-0432
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 18669 | TX | Primary |
Addresses
Primary practice location
1000 W Weatherford St
Ft Worth, TX 76102-1842
Mailing address
1000 W Weatherford St
Ft Worth, TX 76102-1842
Phone (866) 405-0432
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 144674 | Medicaid | TX |
Other names 1
- RXpress Pharmacy
National Provider Directory
National Provider Directory- Tax ID family
- Medicine Store Pharmacy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pharmacist
- Fort Worth, TX
- NPI 1851385595
Locations
1000 W Weatherford St
Ft Worth, TX 76102
Phone (866) 405-0432
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1453680000000",
"number": "1306868476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 W WEATHERFORD ST",
"city": "FT WORTH",
"state": "TX",
"postal_code": "761021842",
"telephone_number": "866-405-0432",
"fax_number": "866-797-0302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 W WEATHERFORD ST",
"city": "FT WORTH",
"state": "TX",
"postal_code": "761021842",
"telephone_number": "866-405-0432",
"fax_number": "866-797-0302"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICINE STORE PHARMACY",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-24",
"last_updated": "2016-01-25",
"status": "A",
"authorized_official_last_name": "HALL",
"authorized_official_first_name": "LEWIS",
"authorized_official_middle_name": "ALAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "866-405-0432",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "TX",
"license": "18669",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "144674",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "RXpress Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Ft Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.