Organization Active NPI

Senior Health Pharmacy

  • Long Term Care Pharmacy
  • Fort Worth, TX
National Provider Identifier
1598428104
Registry record updated Oct 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
SENIOR HEALTH PHARMACY
Practice address
2601 Gravel Dr BLDG 3
Fort Worth, TX 76118-6908
Phone
(877) 784-1490
NPI assigned
Oct 20, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2021

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

Authorized official

Name
Anthony Ellis, RPH
Title
Pharmacist in Charge
Phone
(682) 382-2290

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

2601 Gravel Dr BLDG 3
Fort Worth, TX 76118-6908

Mailing address

2601 Gravel Dr BLDG 3
Fort Worth, TX 76118-6908
Phone (877) 784-1490

National Provider Directory

National Provider Directory

Locations

2601 Gravel Dr
Bldg 3
Fort Worth, TX 76118
Phone (877) 784-1490

NPI Registry JSON

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

{
    "created_epoch": "1634688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634688000000",
    "number": "1598428104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 GRAVEL DR BLDG 3",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761186908",
            "telephone_number": "877-784-1490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 GRAVEL DR BLDG 3",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761186908",
            "telephone_number": "877-784-1490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR HEALTH PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-20",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "682-382-2290",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2021; 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.