Organization Active NPI

Edith W Achebodt

  • Pharmacy
  • Plano, TX
National Provider Identifier
1346692183
Registry record updated Apr 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
30898 Issued in TX
Legal business name
EDITH W ACHEBODT
Practice address
1116 W Parker Rd Ste 380a
Plano, TX 75075-2274
Phone
(972) 205-9898
Fax
(972) 205-9888
NPI assigned
Jul 5, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2022

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

Authorized official

Name
Edith Achebodt
Title
Pharm D/Owner
Phone
(214) 223-5041

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 30898 TX Primary
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

1116 W Parker Rd Ste 380a
Plano, TX 75075-2274

Mailing address

1116 W Parker Rd Ste 380a
Plano, TX 75075-2274
Phone (214) 223-5041

Other identifiers 2

IdentifierTypeStateIssuer
149425MedicaidTX
2160873OtherPK

Other names 1

  • AJrx Doing business as

National Provider Directory

National Provider Directory

Locations

410 N Shiloh Rd
#102
Garland, TX 75042

1116 W Parker Rd
Ste 380A
Plano, TX 75075
Phone (972) 205-9898

NPI Registry JSON

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

{
    "created_epoch": "1467676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651190400000",
    "number": "1346692183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1116 W PARKER RD STE 380A",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750752274",
            "telephone_number": "214-223-5041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1116 W PARKER RD STE 380A",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750752274",
            "telephone_number": "972-205-9898",
            "fax_number": "972-205-9888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDITH W ACHEBODT",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-05",
        "last_updated": "2022-04-29",
        "certification_date": "2020-07-29",
        "status": "A",
        "authorized_official_last_name": "ACHEBODT",
        "authorized_official_first_name": "EDITH",
        "authorized_official_title_or_position": "PHARM D/OWNER",
        "authorized_official_telephone_number": "214-223-5041"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "TX",
            "license": "30898",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149425",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2160873",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AJrx",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "AJrx",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2022; 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.