NPIMap

Organization Active NPI

Uhs Retail Pharmacy LLC

Doing business as CentRx Pharmacy at Northwest Texas

  • Community/Retail Pharmacy
  • Amarillo, TX
National Provider Identifier
1629511100
Registry record updated Jul 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
31092 Issued in TX
Legal business name
UHS RETAIL PHARMACY LLC
Doing business as
CentRx Pharmacy at Northwest Texas
Practice address
1501 S Coulter St Ste a
Amarillo, TX 79106-1770
Phone
(806) 553-2455
Fax
(806) 356-7425
NPI assigned
Dec 1, 2016
Last updated
Jul 19, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2018

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

Authorized official

Name
Marvin Pember, MS
Title
Ceo
Phone
(610) 302-3300

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 31092 TX Primary

Addresses

Primary practice location

1501 S Coulter St Ste a
Amarillo, TX 79106-1770

Mailing address

1501 S Coulter St Ste a
Amarillo, TX 79106-1770
Phone (806) 553-2455

Other identifiers 2

IdentifierTypeStateIssuer
2166265OtherPK
149558MedicaidTX

Other names 1

  • CentRx Pharmacy at Northwest Texas Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Centrx Pharmacy Northern Nevada12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

Locations

1501 S Coulter St
Ste A
Amarillo, TX 79106
Phone (806) 553-2455

NPI Registry JSON

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

{
    "created_epoch": "1480550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1629511100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 S COULTER ST STE A",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061770",
            "telephone_number": "806-553-2455",
            "fax_number": "806-356-7425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 S COULTER ST STE A",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061770",
            "telephone_number": "806-553-2455",
            "fax_number": "806-356-7425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UHS RETAIL PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-01",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "PEMBER",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "610-302-3300",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "31092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2166265",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149558",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CentRx Pharmacy at Northwest Texas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Amarillo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.