Lifechek 336 Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28117 Issued in TX

Legal business name

LIFECHEK 336 PHARMACY LLC

Doing business as

Lifechek Drug

Practice address

690 S Loop 336 W Ste 100
Conroe, TX 77304-3320

Phone

(936) 539-4900

Fax

(936) 539-4920

NPI assigned

Jan 9, 2013

Last updated

Mar 9, 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

Bruce Gingrich

Title

Managing Officer

Phone

(281) 232-3940

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Lifechek Drug Doing business as

Locations

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

{
    "created_epoch": "1357689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457481600000",
    "number": "1396082442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1047",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774060027",
            "telephone_number": "281-232-3940",
            "fax_number": "832-595-1203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 S LOOP 336 W STE 100",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773043320",
            "telephone_number": "936-539-4900",
            "fax_number": "936-539-4920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFECHEK 336 PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-09",
        "last_updated": "2016-03-09",
        "status": "A",
        "authorized_official_last_name": "GINGRICH",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "MANAGING OFFICER",
        "authorized_official_telephone_number": "281-232-3940"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "28117",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2136545",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "28117",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lifechek Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Conroe, TX
• Providers in Conroe, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.