Active NPI
Edith W Achebodt
- Pharmacy
- Plano, TX
National Provider Identifier
1346692183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 30898
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 149425 | Medicaid | TX | |
| 2160873 | Other | PK |
Other names 1
- AJrx
National Provider Directory
National Provider DirectoryLocations
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.