Organization Active NPI

Waxahachie Pharmacy LLC

  • Community/Retail Pharmacy
  • Waxahachie, TX
National Provider Identifier
1558828921
Registry record updated Feb 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
WAXAHACHIE PHARMACY LLC
Practice address
401 N Highway 77 Ste 23B
Waxahachie, TX 75165-1130
Phone
(214) 980-1395
Fax
(214) 980-1396
NPI assigned
Feb 21, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2019

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

Authorized official

Name
Muralikrishna Narra, B.PHARMNPI 1538468327
Title
Pharmacy Manager
Phone
(603) 306-2034

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
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

401 N Highway 77 Ste 23B
Waxahachie, TX 75165-1130

Mailing address

300 Bourland Rd Apt 1524
Keller, TX 76248-3545
Phone (603) 306-2034

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190507001174 TX Part B Supplier - Mass Immunization (Roster Biller Only) 2769724012 Practice locations: Waxahachie, TX

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization 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.

NPI Registry JSON

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

{
    "created_epoch": "1550707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550707200000",
    "number": "1558828921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 BOURLAND RD APT 1524",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762483545",
            "telephone_number": "603-306-2034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 N HIGHWAY 77 STE 23B",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751651130",
            "telephone_number": "214-980-1395",
            "fax_number": "214-980-1396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAXAHACHIE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-21",
        "last_updated": "2019-02-21",
        "status": "A",
        "authorized_official_last_name": "NARRA",
        "authorized_official_first_name": "MURALIKRISHNA",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "603-306-2034",
        "authorized_official_credential": "B.PHARM"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waxahachie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2019; 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.