Organization Active NPI

AMC Pharmacy Inc.

Doing business as Amc Pharmacy

  • Community/Retail Pharmacy
  • Fort Worth, TX
National Provider Identifier
1386264547
Registry record updated Aug 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
AMC PHARMACY INC.
Doing business as
Amc Pharmacy
Practice address
2813 N Commerce St Ste 115
Fort Worth, TX 76106-7245
Phone
(682) 703-1523
Fax
(682) 703-2028
NPI assigned
Apr 17, 2020
Last updated
Aug 4, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2021

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

Authorized official

Name
Sodienye C Hart, R.PHNPI 1093181547
Title
Pharmacy Manager
Phone
(682) 703-1523

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
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

2813 N Commerce St Ste 115
Fort Worth, TX 76106-7245

Mailing address

2813 N Commerce St Ste 115
Fort Worth, TX 76106-7245
Phone (682) 703-1523

Other identifiers 1

IdentifierTypeStateIssuer
150253MedicaidTX

Other names 1

  • Amc Pharmacy Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1587081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628035200000",
    "number": "1386264547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2813 N COMMERCE ST STE 115",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761067245",
            "telephone_number": "682-703-1523",
            "fax_number": "682-703-2028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2813 N COMMERCE ST STE 115",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761067245",
            "telephone_number": "682-703-1523",
            "fax_number": "682-703-2028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMC PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-17",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A",
        "authorized_official_last_name": "HART",
        "authorized_official_first_name": "SODIENYE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "682-703-1523",
        "authorized_official_credential": "R.PH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150253",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amc Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Amc Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2021; 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.