NPIMap

Organization Active NPI

Tarrant County Hospital District

Doing business as JPS Medical Home Northeast Pharmacy

  • Community/Retail Pharmacy
  • Euless, TX
National Provider Identifier
1588748610
Registry record updated Dec 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
15551 Issued in TX
Legal business name
TARRANT COUNTY HOSPITAL DISTRICT
Doing business as
JPS Medical Home Northeast Pharmacy
Practice address
3200 W Euless Blvd
Euless, TX 76040-6253
Phone
(817) 702-6474
Fax
(817) 533-7431
NPI assigned
Oct 25, 2006
Last updated
Dec 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2023

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

Authorized official

Name
Joel Wright
Title
President Pharmacy Services
Phone
(806) 242-7782

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 15551 TX Primary

Addresses

Primary practice location

3200 W Euless Blvd
Euless, TX 76040-6253

Mailing address

4701 Bryant Irvin Rd N
Ste Ll215
Ft Worth, TX 76107-7627
Phone (817) 702-6474

Other identifiers 2

IdentifierTypeStateIssuer
251020MedicaidTX
2101029OtherPK

Other names 1

  • JPS MEDICAL HOME NORTHEAST PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Tarrant County Hospital District24 organizations share this tax ID, including this one

Other organizations with this tax ID 23

Organizations that report the same tax identification number in the National Provider Directory.

View all 23

Locations

3200 W Euless Blvd
Euless, TX 76040
Phone (817) 702-3000

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703635200000",
    "number": "1588748610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 BRYANT IRVIN RD N",
            "address_2": "STE LL215",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761077627",
            "telephone_number": "817-702-6474",
            "fax_number": "817-533-7431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 W EULESS BLVD",
            "city": "EULESS",
            "state": "TX",
            "postal_code": "760406253",
            "telephone_number": "817-702-6474",
            "fax_number": "817-533-7431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARRANT COUNTY HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "PRESIDENT PHARMACY SERVICES",
        "authorized_official_telephone_number": "806-242-7782"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "15551",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "251020",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2101029",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JPS MEDICAL HOME NORTHEAST PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Euless, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2023; 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.