NPIMap

Organization Active NPI

-Texas Health Infusion Pharmacy

  • Pharmacist
  • Grand Prairie, TX
National Provider Identifier
1629434873
Registry record updated Jan 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28861 Issued in TX
Legal business name
-TEXAS HEALTH INFUSION PHARMACY
Practice address
200 N Carrier Pkwy Ste 212
Grand Prairie, TX 75050-5476
Phone
(972) 504-6115
Fax
(972) 504-6406
NPI assigned
Jan 4, 2016
Last updated
Jan 4, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
TEXAS HEALTH LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 4, 2016

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

Authorized official

Name
Mrs. Constance Allen
Title
Managing Owner
Phone
(817) 680-8673

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 28861 TX Primary

Addresses

Primary practice location

200 N Carrier Pkwy Ste 212
Grand Prairie, TX 75050-5476

Mailing address

200 N Carrier Pkwy Ste 212
Grand Prairie, TX 75050-5476
Phone (972) 504-6115

Other names 1

  • TEXAS HEALTH PHARMACY Other name

National Provider Directory

National Provider Directory
Tax ID family
Texas Health RX LLC4 organizations share this tax ID, including this one
Part of
Texas Health RX LLC

Other organizations with this tax ID 3

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

Locations

200 N Carrier Pkwy
Ste 212
Grand Prairie, TX 75050
Phone (972) 504-6115

NPI Registry JSON

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

{
    "created_epoch": "1451865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451865600000",
    "number": "1629434873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N CARRIER PKWY STE 212",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750505476",
            "telephone_number": "972-504-6115",
            "fax_number": "972-504-6406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N CARRIER PKWY STE 212",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750505476",
            "telephone_number": "972-504-6115",
            "fax_number": "972-504-6406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "-TEXAS HEALTH INFUSION PHARMACY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TEXAS HEALTH LLC",
        "enumeration_date": "2016-01-04",
        "last_updated": "2016-01-04",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "CONSTANCE",
        "authorized_official_title_or_position": "MANAGING OWNER",
        "authorized_official_telephone_number": "817-680-8673",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "28861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TEXAS HEALTH PHARMACY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Grand Prairie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2016; 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.