Tanglewood Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

16499 Issued in TX

Legal business name

TANGLEWOOD PHARMACY INC

Practice address

2445 Northwest Loop Ste a
Stephenville, TX 76401-1705

Phone

(254) 968-7657

Fax

(254) 968-0364

NPI assigned

Jul 10, 2006

Organization subpart

No

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

Authorized official

Name

Edmund Horton, RPH

Title

Owner

Phone

(254) 968-7657

Specialties & licenses 6

Addresses

Other identifiers 2

Other names 1

• TANGLEWOOD PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in TX2 enrollments

Enrollment records 2

Tax ID family

Tanglewood Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Tanglewood Pharmacy Inc

  • Long Term Care Pharmacy
  • Stephenville, TX
  • NPI 1598407546
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rehme Renee Thompson, PHARMD

  • Pharmacist
  • Stephenville, TX
  • NPI 1821645441
  NPD (past)

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649721600000",
    "number": "1356375281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2445 NORTHWEST LOOP STE A",
            "city": "STEPHENVILLE",
            "state": "TX",
            "postal_code": "764011705",
            "telephone_number": "254-968-7657",
            "fax_number": "254-968-0364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2445 NORTHWEST LOOP STE A",
            "city": "STEPHENVILLE",
            "state": "TX",
            "postal_code": "764011705",
            "telephone_number": "254-968-7657",
            "fax_number": "254-968-0364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TANGLEWOOD PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A",
        "authorized_official_last_name": "HORTON",
        "authorized_official_first_name": "EDMUND",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "254-968-7657",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "16499",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "144228",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2096581",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TANGLEWOOD PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Strategic Care of Stephenville, LLC
• Amanda Stuard
• Aaron Chase Sugg, PTA
• Summer Sky, Inc.
• Tanglewood Medical Supplies, Inc.
• Tanglewood Pharmacy Inc
• Tarleton State University
• Taryn Turner DO PA
• David Taylor III
• Frank Terrell, M.D.

• All providers in Stephenville, TX
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2022; 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.