Texoma Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

TEXOMA PHARMACY LLC

Doing business as

Texoma Pharmacy

Practice address

140 W Lamberth Rd Ste a
Sherman, TX 75092-2670

Phone

(903) 771-4995

Fax

(903) 771-4727

NPI assigned

Apr 19, 2019

Organization subpart

No

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

Authorized official

Name

Ravivarma Dasarraju

Title

Managing Member

Phone

(608) 556-3925

Specialties & licenses 1

Addresses

Other names 1

• Texoma Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1555632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583107200000",
    "number": "1568025112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6505 DOONBEG DR",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750350383",
            "telephone_number": "832-439-5325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 W LAMBERTH RD STE A",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750922670",
            "telephone_number": "903-771-4995",
            "fax_number": "903-771-4727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXOMA PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-19",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A",
        "authorized_official_last_name": "DASARRAJU",
        "authorized_official_first_name": "RAVIVARMA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "608-556-3925"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Texoma Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Texoma Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Texoma Eye Associates LLP
• Texoma Gastroenterology Consultants, PA
• Texoma Hospital Partners, LLC (Carrus Specialty Hospital)
• Texoma Neurology Associates, PA
• Texoma Pediatric Dentistry, PLLC
• Texoma Physical Therapy PLLC (Texoma Therapy Services)
• Texoma Physicians Group, PLLC
• Texoma Quickcare LLC
• Texoma Regional Blood Center
• Texoma Rehabilitaion & Sports Medicine Clinic

• Community/Retail Pharmacy in Sherman, TX
• Providers in Sherman, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2020; 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.