NPIMap

Organization Active NPI

Pancho Independent Pharmacy Inc

  • Community/Retail Pharmacy
  • Fort Worth, TX
National Provider Identifier
1447628607
Registry record updated Dec 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
30349 Issued in TX
Legal business name
PANCHO INDEPENDENT PHARMACY INC
Practice address
608 E Bailey Boswell Rd Ste 140
Fort Worth, TX 76131-3570
Phone
(713) 253-5115
Fax
(972) 279-1415
NPI assigned
Sep 4, 2015
Organization subpart
Yes
Parent organization
CREEKWOOD PHARMACYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 27, 2017

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

Authorized official

Name
Dr. Francis Njie, PHARM-D
Title
Pic
Phone
(972) 279-1400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 30349 TX Primary

Addresses

Primary practice location

608 E Bailey Boswell Rd Ste 140
Fort Worth, TX 76131-3570

Mailing address

1108 Wishing Tree LN
Keller, TX 76248-5272
Phone (713) 253-5115

Other names 1

  • CREEKWOOD PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Doctor'S Plaza Pharmacy5 organizations share this tax ID, including this one
Part of
Doctor'S Plaza Pharmacy

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1441324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514332800000",
    "number": "1447628607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 WISHING TREE LN",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762485272",
            "telephone_number": "713-253-5115",
            "fax_number": "817-337-6081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 E BAILEY BOSWELL RD STE 140",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761313570",
            "telephone_number": "713-253-5115",
            "fax_number": "972-279-1415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANCHO INDEPENDENT PHARMACY INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CREEKWOOD PHARMACY",
        "enumeration_date": "2015-09-04",
        "last_updated": "2017-12-27",
        "status": "A",
        "authorized_official_last_name": "NJIE",
        "authorized_official_first_name": "FRANCIS",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "972-279-1400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM-D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "30349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CREEKWOOD PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2017; 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.