Nulife Pharmacy, Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

NULIFE PHARMACY, INC

Practice address

14150 Trinity Blvd Ste 750
Fort Worth, TX 76155-2597

Phone

(817) 769-7941

Fax

(817) 769-8332

NPI assigned

Dec 7, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Jagadeesh Janjanam

Title

Authorized Official

Phone

(817) 769-7941

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1544140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572480000000",
    "number": "1619448248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14150 TRINITY BLVD STE 750",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761552597",
            "telephone_number": "817-769-7941",
            "fax_number": "817-769-8332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14150 TRINITY BLVD STE 750",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761552597",
            "telephone_number": "817-769-7941",
            "fax_number": "817-769-8332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NULIFE PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-07",
        "last_updated": "2019-10-31",
        "status": "A",
        "authorized_official_last_name": "JANJANAM",
        "authorized_official_first_name": "JAGADEESH",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "817-769-7941",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Retail Pharmacy in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2019; 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.