Organization Active NPI

Shri Krishna Drugs Inc

Doing business as Halls Pharmacy

  • Community/Retail Pharmacy
  • Fort Worth, TX
National Provider Identifier
1548241870
Registry record updated Jul 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28479 Issued in TX
Legal business name
SHRI KRISHNA DRUGS INC
Doing business as
Halls Pharmacy
Practice address
708 Pennsylvania Ave
Ft Worth, TX 76104-2221
Phone
(817) 877-3677
Fax
(817) 877-9981
NPI assigned
Nov 14, 2005
Last updated
Jul 28, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2016

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

Authorized official

Name
Venkatakiran Kali
Title
Director
Phone
(817) 877-3677

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 28479 TX Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

708 Pennsylvania Ave
Ft Worth, TX 76104-2221

Mailing address

708 Pennsylvania Ave
Ft Worth, TX 76104-2221
Phone (817) 877-3677

Other identifiers 1

IdentifierTypeStateIssuer
2138867OtherPK

Other names 1

  • Halls Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161012002739 TX Part B Supplier - Pharmacy 0345538047 Practice locations: Fort Worth, TX

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1131926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469664000000",
    "number": "1548241870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 PENNSYLVANIA AVE",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761042221",
            "telephone_number": "817-877-3677",
            "fax_number": "817-877-9981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 PENNSYLVANIA AVE",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761042221",
            "telephone_number": "817-877-3677",
            "fax_number": "817-877-9981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHRI KRISHNA DRUGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-14",
        "last_updated": "2016-07-28",
        "status": "A",
        "authorized_official_last_name": "KALI",
        "authorized_official_first_name": "VENKATAKIRAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "817-877-3677"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "28479",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2138867",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Halls Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.