Organization Active NPI

Pure Pharmacy

  • Community/Retail Pharmacy
  • Lakeway, TX
National Provider Identifier
1568907913
Registry record updated Aug 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
31137 Issued in TX
Legal business name
PURE PHARMACY
Practice address
1927 Lohmans Crossing Rd Ste 203
Lakeway, TX 78734
Phone
(512) 572-1011
Fax
(512) 572-1021
NPI assigned
Dec 21, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2018

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

Authorized official

Name
Moky Cheung
Title
Manager
Phone
(512) 572-1011

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 31137 TX Primary

Addresses

Primary practice location

1927 Lohmans Crossing Rd Ste 203
Lakeway, TX 78734

Mailing address

PO Box 674172
Dallas, TX 75267-4172
Phone (512) 572-1011

Other identifiers 1

IdentifierTypeStateIssuer
2165798OtherPK

Other names 1

  • Pure Pharmacy Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1482278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533168000000",
    "number": "1568907913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 674172",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752674172",
            "telephone_number": "512-572-1011",
            "fax_number": "512-572-1021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1927 LOHMANS CROSSING RD STE 203",
            "city": "LAKEWAY",
            "state": "TX",
            "postal_code": "78734",
            "telephone_number": "512-572-1011",
            "fax_number": "512-572-1021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-21",
        "last_updated": "2018-08-02",
        "status": "A",
        "authorized_official_last_name": "CHEUNG",
        "authorized_official_first_name": "MOKY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "512-572-1011"
    },
    "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": "31137",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2165798",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pure Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pure Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakeway, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2018; 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.