Organization Active NPI

Golden USA Pharmacy

  • Community/Retail Pharmacy
  • Lubbock, TX
National Provider Identifier
1447591417
Registry record updated Mar 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28175 Issued in TX
Legal business name
GOLDEN USA PHARMACY
Doing business as
Golden USA Pharmacy
Practice address
4120 34TH St
Lubbock, TX 79410-2640
Phone
(806) 368-9472
Fax
(806) 368-9473
NPI assigned
Mar 15, 2013
Last updated
Mar 15, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2013

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

Authorized official

Name
Frank NwabugwuNPI 1841534864
Title
Pharmacist, Owner
Phone
(915) 383-0626

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 28175 TX Primary

Addresses

Primary practice location

4120 34TH St
Lubbock, TX 79410-2640

Mailing address

4120 34TH St
Lubbock, TX 79410-2640
Phone (915) 383-0626

Other identifiers 1

IdentifierTypeStateIssuer
5908186OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • GOLDEN USA PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

4120 34th St
Lubbock, TX 79410
Phone (806) 368-9472

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1363305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363305600000",
    "number": "1447591417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4120 34TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794102640",
            "telephone_number": "915-383-0626",
            "fax_number": "806-368-9473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4120 34TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794102640",
            "telephone_number": "806-368-9472",
            "fax_number": "806-368-9473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN USA PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-15",
        "last_updated": "2013-03-15",
        "status": "A",
        "authorized_official_last_name": "NWABUGWU",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "PHARMACIST,  OWNER",
        "authorized_official_telephone_number": "915-383-0626"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "28175",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5908186",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GOLDEN USA PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2013; 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.