Advancerx Com L P

Primary specialty

Mail Order PharmacyTaxonomy code 3336M0002X

License

25061 Issued in TX

Legal business name

ADVANCERX COM L P

Practice address

2105 Eagle Pkwy
Fort Worth, TX 76177-2311

Phone

(817) 258-3460

Fax

(817) 258-3445

NPI assigned

Nov 8, 2005

Organization subpart

No

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

Authorized official

Name

Ms. Sara J Finley

Title

Authorized Agent

Phone

(800) 225-5967

Specialties & licenses 3

Addresses

Other names 1

• CaremarkPCS Texas Mail Pharmacy LLC dba Caremark Doing business as

Locations

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

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1669453569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 840688",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752840688",
            "telephone_number": "800-225-5967",
            "fax_number": "909-799-4364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 EAGLE PKWY",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761772311",
            "telephone_number": "817-258-3460",
            "fax_number": "817-258-3445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCERX COM L P",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-08",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "FINLEY",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "AUTHORIZED AGENT",
        "authorized_official_telephone_number": "800-225-5967",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "25061",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "TX",
            "license": "25061",
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": "TX",
            "license": "25061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CaremarkPCS Texas Mail Pharmacy LLC dba Caremark",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mail Order Pharmacy in Fort Worth, TX
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.