Organization Active NPI

Green Oaks Pharma Inc.

  • Mail Order Pharmacy
  • Arlington, TX
National Provider Identifier
1508346297
Registry record updated Aug 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mail Order PharmacyTaxonomy code 3336M0002X
License
31202 Issued in TX
Legal business name
GREEN OAKS PHARMA INC.
Practice address
711 E Lamar Blvd Ste 101
Arlington, TX 76011-3854
Phone
(817) 459-8400
Fax
(817) 459-8402
NPI assigned
Aug 21, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2018

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

Authorized official

Name
Lata NarawaneNPI 1467927947
Title
Authorized Official
Phone
(817) 459-8400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mail Order Pharmacy 3336M0002X 31202 TX Primary

Addresses

Primary practice location

711 E Lamar Blvd Ste 101
Arlington, TX 76011-3854

Mailing address

711 E Lamar Blvd Ste 101
Arlington, TX 76011-3854
Phone (817) 459-8400

Other identifiers 1

IdentifierTypeStateIssuer
146411MedicaidTX

Other names 1

  • DFW Wellness Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
DFW Wellness Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1534809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534809600000",
    "number": "1508346297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 E LAMAR BLVD STE 101",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760113854",
            "telephone_number": "817-459-8400",
            "fax_number": "817-459-8402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 E LAMAR BLVD STE 101",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760113854",
            "telephone_number": "817-459-8400",
            "fax_number": "817-459-8402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN OAKS PHARMA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-21",
        "last_updated": "2018-08-21",
        "status": "A",
        "authorized_official_last_name": "NARAWANE",
        "authorized_official_first_name": "LATA",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "817-459-8400"
    },
    "taxonomies": [
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": "TX",
            "license": "31202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146411",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DFW Wellness Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DFW Wellness Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.