Organization Active NPI

Botw Health, Inc

  • Community/Retail Pharmacy
  • Farmers Branch, TX
National Provider Identifier
1376186643
Registry record updated Apr 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
BOTW HEALTH, INC
Practice address
12879 Josey LN Ste 115
Farmers Branch, TX 75234-6374
Phone
(972) 982-2232
Fax
(972) 982-2366
NPI assigned
Oct 19, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2020

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

Authorized official

Name
Tony Thanh NguyenNPI 1689291072
Title
Pic
Phone
(682) 320-3333

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

12879 Josey LN Ste 115
Farmers Branch, TX 75234-6374

Mailing address

12895 Josey LN Ste 124-263
Farmers Branch, TX 75234-8301
Phone (972) 982-2232

Other identifiers 1

IdentifierTypeStateIssuer
150166MedicaidTX

Other names 1

  • Valley View Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

12895 Josey Ln
Ste 124263
Farmers Branch, TX 75234

12879 Josey Ln
Ste 115
Farmers Branch, TX 75234
Phone (972) 982-2232

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1571443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586736000000",
    "number": "1376186643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12895 JOSEY LN STE 124-263",
            "city": "FARMERS BRANCH",
            "state": "TX",
            "postal_code": "752348301",
            "telephone_number": "972-982-2232",
            "fax_number": "972-982-2366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12879 JOSEY LN STE 115",
            "city": "FARMERS BRANCH",
            "state": "TX",
            "postal_code": "752346374",
            "telephone_number": "972-982-2232",
            "fax_number": "972-982-2366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOTW HEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-19",
        "last_updated": "2020-04-13",
        "certification_date": "2020-04-13",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "TONY",
        "authorized_official_middle_name": "THANH",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "682-320-3333"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150166",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley View Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Valley View Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Farmers Branch, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2020; 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.