Thornhill Healthcare Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

31245 Issued in TX

Legal business name

THORNHILL HEALTHCARE INC

Doing business as

Shallowater Pharmacy

Practice address

600 8TH St
Shallowater, TX 79363-5726

Phone

(806) 832-0300

Fax

(806) 832-0301

NPI assigned

Nov 2, 2016

Last updated

Mar 31, 2017By 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

Jared Thornhill

Title

Owner

Phone

(806) 832-0300

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Shallowater Pharmacy Doing business as

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

{
    "created_epoch": "1478044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490918400000",
    "number": "1467904748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 8TH ST",
            "city": "SHALLOWATER",
            "state": "TX",
            "postal_code": "793635726",
            "telephone_number": "806-832-0300",
            "fax_number": "806-832-0301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 8TH ST",
            "city": "SHALLOWATER",
            "state": "TX",
            "postal_code": "793635726",
            "telephone_number": "806-832-0300",
            "fax_number": "806-832-0301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THORNHILL HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-02",
        "last_updated": "2017-03-31",
        "status": "A",
        "authorized_official_last_name": "THORNHILL",
        "authorized_official_first_name": "JARED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "806-832-0300"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "TX",
            "license": "31245",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149573",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2166070",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shallowater Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shallowater Pharmacy, LLC (Shallowater Pharmacy)
• Spiro Stat Technologies, LP (KS3 Laboratories)
• Therapy Tech Contractors, PLLC
• Thornhill Healthcare II, Inc (Thornhill's Pharmacy)
• Thornhill Healthcare II, Inc. (Thornhill's Pharmacy)
• Jared Thornhill
• Robert Douglas Walkup, MD
• Gwen Self Warren, L.P.C.

• Pharmacy in Shallowater, TX
• Providers in Shallowater, TX by specialty
• Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.