First Lone Star Pharmacy Group IV LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

29469 Issued in TX

Legal business name

FIRST LONE STAR PHARMACY GROUP IV LLC

Doing business as

Extendcare Pharmacy Services

Practice address

1246 Hwy 3773
Ste 200
Pilot Point, TX 76258

Phone

(940) 686-2140

Fax

(940) 686-9286

NPI assigned

Aug 22, 2006

Last updated

Oct 10, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mark Elliot

Title

Operations Manager

Phone

(214) 521-9991

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• EXTENDCARE PHARMACY SERVICES Doing business as

Locations

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760054400000",
    "number": "1326154113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1246 S HIGHWAY 377",
            "address_2": "SUITE 200",
            "city": "PILOT POINT",
            "state": "TX",
            "postal_code": "762584353",
            "telephone_number": "940-686-2140",
            "fax_number": "940-686-9286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1246 HWY 3773",
            "address_2": "STE 200",
            "city": "PILOT POINT",
            "state": "TX",
            "postal_code": "76258",
            "telephone_number": "940-686-2140",
            "fax_number": "940-686-9286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST LONE STAR PHARMACY GROUP IV LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A",
        "authorized_official_last_name": "ELLIOT",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "214-521-9991"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "TX",
            "license": "29469",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2146343",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EXTENDCARE PHARMACY SERVICES",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "EXTENDCARE PHARMACY SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cade Preston Edland
• Froilan Patrick Espinoza, M.D.
• Family NPS of North Texas (Medical Associates of Pilot Point)
• Susan Ferguson, SLP
• First Lone Star Pharmacy Group IV LLC (Axtell Pharmacy)
• Courtni Fontenot
• Jacob Dainel Frost
• Caroline Frusha, MS, BCBA, LBA, CHW
• Garcia Healthcare Products, Inc (The DME Dr)
• Anthony Michael Gasperini, PT, DPT

• Long Term Care Pharmacy in Pilot Point, TX
• Providers in Pilot Point, TX by specialty
• Long Term Care Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2025; 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.