DME Pharmacy Infusions

Primary specialty

Specialty PharmacyTaxonomy code 3336S0011X

License

18760 Issued in TX

Legal business name

DME PHARMACY INFUSIONS

Doing business as

DME Pharmacy Infusions

Practice address

4255 Bryant Irvin Rd
Ste 103
Fort Worth, TX 76109-4233

Phone

(817) 569-0015

Fax

(817) 370-7475

NPI assigned

Feb 26, 2008

Organization subpart

No

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

Authorized official

Name

Moni Sagoo

Title

Director

Phone

(817) 800-3752

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• DME PHARMACY INFUSIONS Doing business as

Locations

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

{
    "created_epoch": "1203984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203984000000",
    "number": "1386813194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4255 BRYANT IRVIN RD",
            "address_2": "STE 103",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761094233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4255 BRYANT IRVIN RD",
            "address_2": "STE 103",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761094233",
            "telephone_number": "817-569-0015",
            "fax_number": "817-370-7475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DME PHARMACY INFUSIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-26",
        "last_updated": "2008-02-26",
        "status": "A",
        "authorized_official_last_name": "SAGOO",
        "authorized_official_first_name": "MONI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "817-800-3752"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "TX",
            "license": "18760",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "4547622",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DME PHARMACY INFUSIONS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Specialty Pharmacy in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Specialty Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2008; 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.