Agateno Technologies LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28947 Issued in TX

Legal business name

AGATENO TECHNOLOGIES LLC

Doing business as

Express Care Pharmacy

Practice address

3648 Old Denton Rd Ste 104
Carrollton, TX 75007-7977

Phone

(214) 800-5526

Fax

(214) 329-1203

NPI assigned

Jan 3, 2014

Last updated

Apr 18, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Shinu PunnooseNPI 1487419271

Title

Pharmacist/Owner

Phone

(214) 800-5526

Specialties & licenses 1

Addresses

Other names 1

• EXPRESS CARE PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Tax ID family

Agateno Technologies LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Agateno Technologies LLC

  dba Express Care Pharmacy

  • Long Term Care Pharmacy
  • Carrollton, TX
  • NPI 1720732993
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shinu Punnoose

  • Pharmacist
  • Carrollton, TX
  • NPI 1487419271
  NPD Authorized official
• James Michael Jones

  • Pharmacist
  • Carrollton, TX
  • NPI 1972197820
  NPD (past)

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

{
    "created_epoch": "1388707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650240000000",
    "number": "1639590995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3648 OLD DENTON RD STE 104",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750077977",
            "telephone_number": "214-800-5526",
            "fax_number": "214-329-1203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3648 OLD DENTON RD STE 104",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750077977",
            "telephone_number": "214-800-5526",
            "fax_number": "214-329-1203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGATENO TECHNOLOGIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-03",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-18",
        "status": "A",
        "authorized_official_last_name": "PUNNOOSE",
        "authorized_official_first_name": "SHINU",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "214-800-5526",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "28947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EXPRESS CARE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Susana Aguilar, COTA
• Victoria Aguillon

• Community/Retail Pharmacy in Carrollton, TX
• Providers in Carrollton, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.