Organization Active NPI

Texas Health RX

Doing business as Texas Health RX Pharmacy

  • Community/Retail Pharmacy
  • Grand Prairie, TX
National Provider Identifier
1447633672
Registry record updated May 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28860 Issued in TX
Legal business name
TEXAS HEALTH RX
Doing business as
Texas Health RX Pharmacy
Practice address
643 S Great Southwest Pkwy Ste 104
Grand Prairie, TX 75051-1056
Phone
(972) 854-6945
Fax
(972) 298-2542
NPI assigned
Jul 7, 2015
Last updated
May 8, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2018

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

Authorized official

Name
Tuan Pham
Title
Officer
Phone
(972) 854-6945

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 28860 TX Primary

Addresses

Primary practice location

643 S Great Southwest Pkwy Ste 104
Grand Prairie, TX 75051-1056

Mailing address

643 S Great Southwest Pkwy Ste 104
Grand Prairie, TX 75051-1056
Phone (972) 854-6945

Other identifiers 1

IdentifierTypeStateIssuer
2153074OtherPK

Other names 1

  • TEXAS HEALTH RX PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Texas Health RX LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

643 S Great Southwest Pkwy
Ste 104
Grand Prairie, TX 75051
Phone (972) 660-3996

NPI Registry JSON

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

{
    "created_epoch": "1436227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525737600000",
    "number": "1447633672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "643 S GREAT SOUTHWEST PKWY STE 104",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750511056",
            "telephone_number": "972-854-6945",
            "fax_number": "972-298-2542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "643 S GREAT SOUTHWEST PKWY STE 104",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750511056",
            "telephone_number": "972-854-6945",
            "fax_number": "972-298-2542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS HEALTH RX",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-07",
        "last_updated": "2018-05-08",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "TUAN",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "972-854-6945"
    },
    "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": "28860",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2153074",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TEXAS HEALTH RX PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grand Prairie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2018; 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.