Organization Active NPI

Orange Pharmacy

  • Pharmacist
  • Orange, TX
National Provider Identifier
1639260227
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
21532 Issued in TX
Legal business name
ORANGE PHARMACY
Practice address
1101 N 16TH St
Orange, TX 77630-3605
Phone
(409) 883-3551
Fax
(409) 883-3455
NPI assigned
Sep 27, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. John Allen Dennison, R.PH.
Title
Owner/Pharmacist
Phone
(409) 883-3551

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 21532 TX Primary

Addresses

Primary practice location

1101 N 16TH St
Orange, TX 77630-3605

Mailing address

1101 N 16TH St
Orange, TX 77630-3605
Phone (409) 883-3551

Other identifiers 1

IdentifierTypeStateIssuer
142464MedicaidTX

National Provider Directory

National Provider Directory

Locations

1101 N 16th St
Orange, TX 77630
Phone (409) 883-3551

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639260227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 N 16TH ST",
            "city": "ORANGE",
            "state": "TX",
            "postal_code": "776303605",
            "telephone_number": "409-883-3551",
            "fax_number": "409-883-3455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 N 16TH ST",
            "city": "ORANGE",
            "state": "TX",
            "postal_code": "776303605",
            "telephone_number": "409-883-3551",
            "fax_number": "409-883-3455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORANGE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DENNISON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "409-883-3551",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "21532",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142464",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.