Enterprise Pharmacy Network,LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

31519 Issued in TX

Legal business name

ENTERPRISE PHARMACY NETWORK,LLC

Practice address

802 Texas Pkwy Ste 2a
Stafford, TX 77477-6400

Phone

(346) 304-2909

Fax

(346) 304-2909

NPI assigned

Aug 17, 2017

Organization subpart

No

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

Authorized official

Name

Dallas Benton Davis

Title

Administrator

Phone

(346) 304-2909

Specialties & licenses 1

Addresses

Other names 1

• Discount Meds Pharmacy Doing business as

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

{
    "created_epoch": "1502928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1467978767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 TEXAS PKWY STE 2A",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774776400",
            "telephone_number": "346-304-2909",
            "fax_number": "346-304-2909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 TEXAS PKWY STE 2A",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774776400",
            "telephone_number": "346-304-2909",
            "fax_number": "346-304-2909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENTERPRISE PHARMACY NETWORK,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-17",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "DALLAS",
        "authorized_official_middle_name": "BENTON",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "346-304-2909"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "31519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Discount Meds Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Stafford, TX
• Providers in Stafford, 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 Jul 21, 2022; 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.