Active NPI
William R Fat-Anthony
- Pharmacist
- Mission, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 45974
- Practice address
- 3401 W Mile 5 Rd
Suite 2
Mission, TX 78574-5313 - Phone
- (956) 802-4664
- Fax
- (956) 424-3599
- NPI assigned
- Aug 10, 2010
- Last updated
- Mar 30, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Point of Service | 305S00000X | 45D2206609 | TX | |
| Durable Medical Equipment & Medical Supplies | 332B00000X | 28238 | TX | |
| Pharmacy | 333600000X | 28238 | TX | |
| Pharmacist | 183500000X | 45974 | TX | Primary |
| Community/Retail Pharmacy | 3336C0003X | 28238 | TX |
Addresses
Primary practice location
3401 W Mile 5 Rd
Suite 2
Mission, TX 78574-5313
Mailing address
3401 W Mile 5 Rd
Suite 2
Mission, TX 78574-5313
Phone (956) 802-4664
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 45D2206609 | TX | MD | Point of Service |
| 28238 | TX | MD | Community/Retail Pharmacy |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Mart & DME | Durable Medical Equipment & Medical Supplies | Current | Accepting new patients |
| Medical Mart & DME | Durable Medical Equipment & Medical Supplies | Current | Accepting new patients |
Locations
3401 W Mile 5 Rd
Ste 2
Mission, TX 78574
Phone (956) 424-3535
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Health Plus Pharmacy
- Community/Retail Pharmacy
- Mission, TX
- NPI 1346507514
Durable Medical Equipment & Medical Supplies
-
dba Health Plus Pharmacy
- Community/Retail Pharmacy
- Alton, TX
- NPI 1912367335
Durable Medical Equipment & Medical Supplies
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617062400000",
"number": "1336454750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3401 W MILE 5 RD",
"address_2": "SUITE 2",
"city": "MISSION",
"state": "TX",
"postal_code": "785745313",
"telephone_number": "956-802-4664",
"fax_number": "956-424-3599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3401 W MILE 5 RD",
"address_2": "SUITE 2",
"city": "MISSION",
"state": "TX",
"postal_code": "785745313",
"telephone_number": "956-802-4664",
"fax_number": "956-424-3599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAT-ANTHONY",
"first_name": "WILLIAM",
"middle_name": "R",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-08-10",
"last_updated": "2021-03-30",
"certification_date": "2021-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "305S00000X",
"taxonomy_group": "",
"desc": "Point of Service",
"state": "TX",
"license": "45D2206609",
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "TX",
"license": "28238",
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "TX",
"license": "28238",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "45974",
"primary": true
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "TX",
"license": "28238",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mission, TX
- Family Provider Services, LLC. (SDQ Provider Services)
- Family Specialists Medical Center PA
- Mohammed Farooqi, PAC
- Michael Keith Farris, ACNPC-AG
- Monica Farris
- Fe & Esperanza Home Care, LLC
- Fe Family Clinic, LLC
- Fe Y Esperanza Provider Services LLC
- Lilliana Febus, AGNP
- Felicidad Y Tranquilidad Adult Day Care LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.