Reveles Clinical Services

Primary specialty

Specialty PharmacyTaxonomy code 3336S0011X

Legal business name

REVELES CLINICAL SERVICES

Practice address

580 Commerce St Ste 150B
Southlake, TX 76092-9214

Phone

(817) 482-9336

Fax

(817) 476-8559

NPI assigned

Sep 14, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Rkes D Starling, RPH, MBA

Title

Chief Executive Officer/President

Phone

(817) 846-6499

Specialties & licenses 1

Addresses

Other names 1

• Reveles Clinical Services Former legal business name

Locations

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

{
    "created_epoch": "1631577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631577600000",
    "number": "1487324273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 COMMERCE ST STE 150B",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760929214",
            "telephone_number": "817-482-9336",
            "fax_number": "817-476-8559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 COMMERCE ST STE 150B",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760929214",
            "telephone_number": "817-482-9336",
            "fax_number": "817-476-8559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVELES CLINICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-14",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A",
        "authorized_official_last_name": "STARLING",
        "authorized_official_first_name": "RKES",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER/PRESIDENT",
        "authorized_official_telephone_number": "817-846-6499",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH, MBA"
    },
    "taxonomies": [
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reveles Clinical Services",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Specialty Pharmacy in Southlake, TX
• Providers in Southlake, TX by specialty
• Specialty Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2021; 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.