Haltom Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

24360 Issued in TX

Legal business name

HALTOM PHARMACY LLC

Practice address

3602 Matlock Rd Ste 204
Arlington, TX 76015-3600

Phone

(817) 838-2500

Fax

(817) 838-2510

NPI assigned

Jun 22, 2006

Organization subpart

No

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

Authorized official

Name

Thanh Quang Ngo

Title

Pharmacist

Phone

(817) 838-2500

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Haltom Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546214400000",
    "number": "1477599868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3602 MATLOCK RD STE 204",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760153600",
            "telephone_number": "817-838-2500",
            "fax_number": "817-838-2510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3602 MATLOCK RD STE 204",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760153600",
            "telephone_number": "817-838-2500",
            "fax_number": "817-838-2510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALTOM PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2018-12-31",
        "status": "A",
        "authorized_official_last_name": "NGO",
        "authorized_official_first_name": "THANH",
        "authorized_official_middle_name": "QUANG",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "817-838-2500"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "24360",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2098722",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145592",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Haltom Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rob Hall
• Stanecia Lynette Hall, LMT
• Yvonne A Halle
• Gary V Halm, DDS
• Halmark Elder Care LLC
• Mengala Hamad
• Fadi Hamam, RDH
• Jenna Hamed
• Charles Renee Hamel, MD
• Hamid Burney MD PA

• Community/Retail Pharmacy in Arlington, TX
• Providers in Arlington, 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 Dec 31, 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.