NPIMap

Organization Active NPI

Pillcraft Pharmacy

  • Long Term Care Pharmacy
  • Stafford, TX
National Provider Identifier
1558194696
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
PILLCRAFT PHARMACY
Practice address
4227 S Main St Ste 14
Stafford, TX 77477-5309
Phone
(832) 615-3662
Fax
(832) 478-1256
NPI assigned
Aug 23, 2024
Organization subpart
Yes
Parent organization
PILLCRAFT PHARMACYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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

Authorized official

Name
Allen Mathews, PHARMDNPI 1912545450
Title
Owner/Pic
Phone
(562) 533-8990

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
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

4227 S Main St Ste 14
Stafford, TX 77477-5309

Mailing address

4227 S Main St Ste 14
Stafford, TX 77477-5309
Phone (832) 615-3662

National Provider Directory

National Provider Directory
Tax ID family
Pillcraft Pharmacy2 organizations share this tax ID, including this one
Part of
Pillcraft Pharmacy

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1724371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724716800000",
    "number": "1558194696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4227 S MAIN ST STE 14",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774775309",
            "telephone_number": "832-615-3662",
            "fax_number": "832-478-1256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4227 S MAIN ST STE 14",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774775309",
            "telephone_number": "832-615-3662",
            "fax_number": "832-478-1256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PILLCRAFT PHARMACY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PILLCRAFT PHARMACY",
        "enumeration_date": "2024-08-23",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A",
        "authorized_official_last_name": "MATHEWS",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER/PIC",
        "authorized_official_telephone_number": "562-533-8990",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stafford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; 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.