Livingston Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

LIVINGSTON PHARMACY LLC

Doing business as

Polk RX Pharmacy

Practice address

503 N Washington Ave
Livingston, TX 77351-2839

Phone

(936) 327-0213

Fax

(936) 327-1053

NPI assigned

Sep 11, 2019

Last updated

Apr 30, 2020By the provider in NPPES

Organization subpart

Yes

Parent organization

LIVINGSTON PHARMACY LLCAs reported in NPPES

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

Authorized official

Name

Michael Silva

Title

Owner

Phone

(281) 703-3492

Specialties & licenses 2

Addresses

Other names 1

• POLK RX PHARMACY Doing business as

Electronic endpoints 1

Part of

Livingston Pharmacy LLC

Locations

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

{
    "created_epoch": "1568160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588204800000",
    "number": "1427608462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 N WASHINGTON AVE",
            "city": "LIVINGSTON",
            "state": "TX",
            "postal_code": "773512839",
            "telephone_number": "936-327-0213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 N WASHINGTON AVE",
            "city": "LIVINGSTON",
            "state": "TX",
            "postal_code": "773512839",
            "telephone_number": "936-327-0213",
            "fax_number": "936-327-1053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVINGSTON PHARMACY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LIVINGSTON PHARMACY LLC",
        "enumeration_date": "2019-09-11",
        "last_updated": "2020-04-30",
        "certification_date": "2020-04-30",
        "status": "A",
        "authorized_official_last_name": "SILVA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-703-3492"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "info@polkrx.com",
            "affiliation": "N",
            "address_1": "503 N Washington Ave",
            "city": "Livingston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "773512839",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "POLK RX PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "POLK RX PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Livingston, TX
• Providers in Livingston, 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 Apr 30, 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.