Organization Active NPI

Independent Pharmacy Associates LLC

Doing business as Garland Independent Pharmacy

  • Community/Retail Pharmacy
  • Garland, TX
National Provider Identifier
1356356950
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
22696 Issued in TX
Legal business name
INDEPENDENT PHARMACY ASSOCIATES LLC
Doing business as
Garland Independent Pharmacy
Practice address
3641 Broadway Blvd Ste 100
Suite 100
Garland, TX 75043-1676
Phone
(972) 864-1110
Fax
(972) 864-1115
NPI assigned
Jul 30, 2006
Last updated
Jan 22, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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

Authorized official

Name
Andrew Cummings, RPH
Title
Pharmacist Owner
Phone
(972) 864-1110

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 22696 TX Primary
Compounding Pharmacy 3336C0004X NU

Addresses

Primary practice location

3641 Broadway Blvd Ste 100
Suite 100
Garland, TX 75043-1676

Mailing address

3641 Broadway Blvd
Suite 100
Garland, TX 75043-1608
Phone (972) 864-1110

Other identifiers 2

IdentifierTypeStateIssuer
149326MedicaidTX
2098901OtherPK

Other names 1

  • GARLAND INDEPENDENT PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041005001252 TX Part B Supplier - Mass Immunization (Roster Biller Only) 9234198292 Practice locations: Garland, TX

National Provider Directory

National Provider Directory

Locations

3334 Broadway Blvd
Ste 412
Garland, TX 75043
Phone (972) 278-9742

3641 Broadway Blvd
Ste 100
Garland, TX 75043
Phone (972) 864-1110

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737504000000",
    "number": "1356356950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3641 BROADWAY BLVD",
            "address_2": "SUITE 100",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750431608",
            "telephone_number": "972-864-1110",
            "fax_number": "972-864-1115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3641 BROADWAY BLVD STE 100",
            "address_2": "SUITE 100",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750431676",
            "telephone_number": "972-864-1110",
            "fax_number": "972-864-1115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENT PHARMACY ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A",
        "authorized_official_last_name": "CUMMINGS",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "PHARMACIST OWNER",
        "authorized_official_telephone_number": "972-864-1110",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "22696",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149326",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2098901",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GARLAND INDEPENDENT PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Garland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.