Active NPI
FC Pharmacy LLC
Doing business as Wylie Pharmacy
- Pharmacy
- Wylie, TX
National Provider Identifier
1639681315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 29067
- Legal business name
- FC PHARMACY LLC
- Doing business as
- Wylie Pharmacy
- Practice address
- 430 S Highway 78 Ste 160
Wylie, TX 75098-3974 - Phone
- (972) 432-7311
- NPI assigned
- Nov 2, 2017
- Last updated
- Nov 3, 2017
- 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
- Dr. Cuong Nguyen, PHARMD
- Title
- Manager
- Phone
- (972) 432-7311
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 29067 | TX | Primary |
| Community/Retail Pharmacy | 3336C0003X | 29067 | TX | |
| Compounding Pharmacy | 3336C0004X | 29067 | TX |
Addresses
Primary practice location
430 S Highway 78 Ste 160
Wylie, TX 75098-3974
Mailing address
600 S Sherman St Ste 106
Richardson, TX 75081-4014
Phone (972) 432-7311
Other names 1
- Wylie Pharmacy
National Provider Directory
National Provider Directory- Tax ID family
- FC Pharmacy LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Locations
600 S Sherman St
Ste 106
Richardson, TX 75081
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509580800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1509667200000",
"number": "1639681315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 S SHERMAN ST STE 106",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750814014",
"telephone_number": "972-432-7311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "430 S HIGHWAY 78 STE 160",
"city": "WYLIE",
"state": "TX",
"postal_code": "750983974",
"telephone_number": "972-432-7311"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FC PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-11-02",
"last_updated": "2017-11-03",
"status": "A",
"authorized_official_last_name": "NGUYEN",
"authorized_official_first_name": "CUONG",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "972-432-7311",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "TX",
"license": "29067",
"primary": true
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "TX",
"license": "29067",
"primary": false
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": "TX",
"license": "29067",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Wylie Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Wylie, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.