Altimate Care Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

ALTIMATE CARE PHARMACY LLC

Doing business as

Altimate Care Pharmacy

Practice address

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

Phone

(682) 385-9100

Fax

(682) 385-9102

NPI assigned

Sep 12, 2016

Last updated

Jun 11, 2020By 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

Kyle Richardson

Title

Owner

Phone

(940) 390-7103

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Altimate Care Pharmacy Doing business as

Locations

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.

• Stacy Lynn Brown, PHARMD.

  • Pharmacist
  • Flower Mound, TX
  • NPI 1285573584
  NPD

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

{
    "created_epoch": "1473638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591833600000",
    "number": "1407304132",
    "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": "682-385-9100",
            "fax_number": "682-385-9102"
        },
        {
            "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": "682-385-9100",
            "fax_number": "682-385-9102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTIMATE CARE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-12",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "940-390-7103"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2164117",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149538",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Altimate Care Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Altimate Care Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Becky Wightman Althaus, RN, PH.D., CGC
• Dru Elizabeth Altheide, SLP
• Altieri Dental,PC
• Kevin M Altieri, D.D.S.
• William Drost Altig, OD
• Ali Waadallah Altitinchi
• Altius Health LLC (Approved Home Care)
• Altman Psychological Services, PLLC
• Daniel Rayner Altman, PH.D.
• Andrew Joseph Alutius, MD

• Community/Retail Pharmacy in Fort Worth, TX
• Providers in Fort Worth, 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 Jun 11, 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.