Active NPI
Orange Pharmacy
- Pharmacist
- Orange, TX
National Provider Identifier
1639260227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 21532
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 142464 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
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
- Orange Family Clinic
- Orange Family Dentistry, PLLC
- Orange Family Practice Associates
- Orange Medical Surgical Assoc LLP
- Orange Pediatrics, PA
- Orange Pharmacy LLC (Sholars Medicine Chest)
- Orange Villa Nursing and Rehabilitation LP
- Palliative Care & Inpatients Hospice Corporation (Pic)
- Palliative Care & Inpatients Hospice Corporation (Pic)
- Calvin Rawles Parker, MD
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.