Active NPI
Theophlous A Sims Jr.
- Pharmacist
- Burleson, TX
National Provider Identifier
1578167128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 40703
- Practice address
- 100 SW Wilshire Blvd
Burleson, TX 76028-4712 - Phone
- (817) 295-1125
- Fax
- (817) 295-6610
- NPI assigned
- Nov 24, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 40703 | TX | Primary |
Addresses
Primary practice location
100 SW Wilshire Blvd
Burleson, TX 76028-4712
Mailing address
6111 Waterview Dr
Arlington, TX 76016-2047
Phone (817) 475-1161
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CVS Pharmacy Inc | Past | Accepting new patients | |
| CVS Pharmacy Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606176000000",
"number": "1578167128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6111 WATERVIEW DR",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760162047",
"telephone_number": "817-475-1161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 SW WILSHIRE BLVD",
"city": "BURLESON",
"state": "TX",
"postal_code": "760284712",
"telephone_number": "817-295-1125",
"fax_number": "817-295-6610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMS",
"first_name": "THEOPHLOUS",
"middle_name": "A",
"name_suffix": "Jr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-11-24",
"last_updated": "2020-11-24",
"certification_date": "2020-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "40703",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burleson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.