Professional Pharmacy Enterprises of Lancaster Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

10181 Issued in TX

Legal business name

PROFESSIONAL PHARMACY ENTERPRISES OF LANCASTER INC.

Practice address

2700 W Pleasant Run Rd Ste 250
Lancaster, TX 75146-1004

Phone

(972) 223-2623

Fax

(972) 230-0923

NPI assigned

Oct 4, 2006

Organization subpart

No

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

Authorized official

Name

Micheal Peters

Title

President

Phone

(972) 223-2623

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Midway Park Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568557635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 W PLEASANT RUN RD STE 250",
            "city": "LANCASTER",
            "state": "TX",
            "postal_code": "751461004",
            "telephone_number": "972-223-2623",
            "fax_number": "972-230-0923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 W PLEASANT RUN RD STE 250",
            "city": "LANCASTER",
            "state": "TX",
            "postal_code": "751461004",
            "telephone_number": "972-223-2623",
            "fax_number": "972-230-0923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL PHARMACY ENTERPRISES OF LANCASTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "MICHEAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-223-2623"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "10181",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142473",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midway Park Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John W Poston Jr., LPC
• Andrea Lamel Powell, LCSW
• Premise Medical, PLLC
• Pride Care
• Principle Assist, LLC
• Prompt Laboratory Services, LLC
• Gregory Protich, R.PH.
• R&K Management 2 LLC
• Talina Lea Rabago, LVN
• David Edward Racette, RPH.

• Community/Retail Pharmacy in Lancaster, TX
• Providers in Lancaster, 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 Aug 22, 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.