Long Prairie Pharmacy LLC

Primary specialty

Mail Order PharmacyTaxonomy code 3336M0002X

Legal business name

LONG PRAIRIE PHARMACY LLC

Practice address

4921 Long Prairie Rd Ste 105
Flower Mound, TX 75028-2742

Phone

(972) 410-3773

Fax

(972) 410-3776

NPI assigned

Jul 26, 2018

Organization subpart

No

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

Authorized official

Name

Vrajesh Sheth

Title

Officer/Pic

Phone

(972) 410-3773

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1532563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532563200000",
    "number": "1619454204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4921 LONG PRAIRIE RD STE 105",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750282742",
            "telephone_number": "972-410-3773",
            "fax_number": "972-410-3776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4921 LONG PRAIRIE RD STE 105",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750282742",
            "telephone_number": "972-410-3773",
            "fax_number": "972-410-3776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG PRAIRIE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-26",
        "last_updated": "2018-07-26",
        "status": "A",
        "authorized_official_last_name": "SHETH",
        "authorized_official_first_name": "VRAJESH",
        "authorized_official_title_or_position": "OFFICER/PIC",
        "authorized_official_telephone_number": "972-410-3773"
    },
    "taxonomies": [
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146586",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Mail Order Pharmacy in Flower Mound, TX
• Providers in Flower Mound, TX by specialty
• Mail Order Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2018; 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.