Mountain Care Pharmacy Texas LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

28433 Issued in TX

Legal business name

MOUNTAIN CARE PHARMACY TEXAS LLC

Doing business as

Mountain Care Pharmacy

Practice address

2010 Century Center Blvd Ste J
Irving, TX 75062-4963

Phone

(972) 536-1986

Fax

(972) 579-8048

NPI assigned

Mar 21, 2013

Organization subpart

No

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

Authorized official

Name

Dale Allred

Title

VP Operations

Phone

(801) 747-7191

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Mountain Care Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1363824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379635200000",
    "number": "1578805172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 W BELLWOOD LN",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841234494",
            "telephone_number": "801-747-7191",
            "fax_number": "801-747-7192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 CENTURY CENTER BLVD STE J",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750624963",
            "telephone_number": "972-536-1986",
            "fax_number": "972-579-8048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN CARE PHARMACY TEXAS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-21",
        "last_updated": "2013-09-20",
        "status": "A",
        "authorized_official_last_name": "ALLRED",
        "authorized_official_first_name": "DALE",
        "authorized_official_title_or_position": "VP OPERATIONS",
        "authorized_official_telephone_number": "801-747-7191"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "TX",
            "license": "28433",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2139306",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mountain Care Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Long Term Care Pharmacy in Irving, TX
• Providers in Irving, TX by specialty
• Long Term Care Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2013; 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.