Aa Pharmacy LLC

Primary specialty

PharmacyTaxonomy code 333600000X

License

33278 Issued in TX

Legal business name

AA PHARMACY LLC

Doing business as

Aa Pharmacy

Practice address

17826 Davenport Rd Ste B
Dallas, TX 75252-5876

Phone

(469) 351-3462

Fax

(469) 565-2220

NPI assigned

Jan 29, 2015

Last updated

Aug 31, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Amos Momanyi Abuga, RPH

Title

Pharmacy Director

Phone

(214) 476-6289

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• AA PHARMACY Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lawrence Metuge Ekaney, PD

  • Pharmacist
  • Dallas, TX
  • NPI 1962716209
  NPD (past)

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

{
    "created_epoch": "1422489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472601600000",
    "number": "1386034338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17826 DAVENPORT RD STE B",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752525876",
            "telephone_number": "469-351-3462",
            "fax_number": "469-565-2220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17826 DAVENPORT RD STE B",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752525876",
            "telephone_number": "469-351-3462",
            "fax_number": "469-565-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AA PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-29",
        "last_updated": "2016-08-31",
        "status": "A",
        "authorized_official_last_name": "ABUGA",
        "authorized_official_first_name": "AMOS",
        "authorized_official_middle_name": "MOMANYI",
        "authorized_official_title_or_position": "PHARMACY DIRECTOR",
        "authorized_official_telephone_number": "214-476-6289",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "TX",
            "license": "33278",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "147110",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS STATE BOARD OF PHARMACY",
            "identifier": "33278",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AA PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pharmacy in Dallas, TX
• Providers in Dallas, TX by specialty
• Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2016; 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.