Organization Active NPI

Village Drug Inc

  • Community/Retail Pharmacy
  • Irving, TX
National Provider Identifier
1386680403
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
05464 Issued in TX
Legal business name
VILLAGE DRUG INC
Practice address
109 Village Shopping Ctr
Irving, TX 75061-2694
Phone
(972) 579-1053
Fax
(972) 554-7098
NPI assigned
Jun 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
James Pringle
Title
President
Phone
(972) 579-1053

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 05464 TX Primary

Addresses

Primary practice location

109 Village Shopping Ctr
Irving, TX 75061-2694

Mailing address

109 Village Shopping Ctr
Irving, TX 75061-2694

Other identifiers 2

IdentifierTypeStateIssuer
143866MedicaidTX
4554451OtherOTHER ID NUMBER-COMMERCIAL NUMBER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386680403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 VILLAGE SHOPPING CTR",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750612694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 VILLAGE SHOPPING CTR",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750612694",
            "telephone_number": "972-579-1053",
            "fax_number": "972-554-7098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PRINGLE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-579-1053"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "05464",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "143866",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "4554451",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.