Active NPI
AMC Pharmacy Inc.
Doing business as Amc Pharmacy
- Community/Retail Pharmacy
- Fort Worth, TX
National Provider Identifier
1386264547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- 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, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sodienye C Hart, R.PH
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 150253 | Medicaid | TX |
Other names 1
- Amc Pharmacy
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Arlington, TX
- NPI 1093181547
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.