Tanglewood Pharmacy Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

TANGLEWOOD PHARMACY INC

Doing business as

Tanglewood Pharmacy

Practice address

2445 Northwest Loop Ste a
Stephenville, TX 76401-1705

Phone

(254) 968-7657

Fax

(254) 968-0364

NPI assigned

Apr 11, 2022

Last updated

Apr 25, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Courtney Bowen

Title

Business Manager

Phone

(254) 968-7657

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• TANGLEWOOD PHARMACY Doing business as

Tax ID family

Tanglewood Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Tanglewood Pharmacy Inc

  dba Tanglewood Pharmacy

  • Community/Retail Pharmacy
  • Stephenville, TX
  • NPI 1356375281
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rehme Renee Thompson, PHARMD

  • Pharmacist
  • Stephenville, TX
  • NPI 1821645441
  NPD

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

{
    "created_epoch": "1649635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650844800000",
    "number": "1598407546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2445 NORTHWEST LOOP STE A",
            "city": "STEPHENVILLE",
            "state": "TX",
            "postal_code": "764011705",
            "telephone_number": "254-968-7657",
            "fax_number": "254-968-0364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2445 NORTHWEST LOOP STE A",
            "city": "STEPHENVILLE",
            "state": "TX",
            "postal_code": "764011705",
            "telephone_number": "254-968-7657",
            "fax_number": "254-968-0364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TANGLEWOOD PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-11",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A",
        "authorized_official_last_name": "BOWEN",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "254-968-7657"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "086988501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TANGLEWOOD PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "TANGLEWOOD PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amanda Stuard
• Aaron Chase Sugg, PTA
• Summer Sky, Inc.
• Tanglewood Medical Supplies, Inc.
• Tanglewood Pharmacy Inc (Tanglewood Pharmacy)
• Tarleton State University (Tarleton State University Student Health Services)
• Taryn Turner DO PA
• David Taylor III
• Frank Terrell, M.D.
• Texas Health Care, P.L.L.C. (Prvia Medicial Group North Texas)

• Long Term Care Pharmacy in Stephenville, TX
• Providers in Stephenville, 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 Apr 25, 2022; 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.