Organization Active NPI

SMP Health LLC

Doing business as Denton Pharmacy

  • Community/Retail Pharmacy
  • Denton, TX
National Provider Identifier
1558720276
Registry record updated Jul 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
30682 Issued in TX
Legal business name
SMP HEALTH LLC
Doing business as
Denton Pharmacy
Practice address
1620 W University Dr
Denton, TX 76201-1765
Phone
(940) 600-5484
Fax
(940) 600-5485
NPI assigned
Feb 23, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2016

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

Authorized official

Name
Shimoli DoshiNPI 1497332274
Title
Pharmacist in Charge
Phone
(940) 600-5484

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 30682 TX Primary

Addresses

Primary practice location

1620 W University Dr
Denton, TX 76201-1765

Mailing address

1620 W University Dr
Denton, TX 76201-1765
Phone (940) 600-5484

Other identifiers 2

IdentifierTypeStateIssuer
149102MedicaidTX
2158360OtherPK

Other names 1

  • Denton Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

1620 W University Dr
Denton, TX 76201
Phone (940) 600-5484

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": "1456185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467936000000",
    "number": "1558720276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 W UNIVERSITY DR",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762011765",
            "telephone_number": "940-600-5484",
            "fax_number": "940-600-5485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 W UNIVERSITY DR",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762011765",
            "telephone_number": "940-600-5484",
            "fax_number": "940-600-5485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMP HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-23",
        "last_updated": "2016-07-08",
        "status": "A",
        "authorized_official_last_name": "DOSHI",
        "authorized_official_first_name": "SHIMOLI",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "940-600-5484"
    },
    "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": "30682",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149102",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2158360",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Denton Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Denton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2016; 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.