NPIMap

Organization Active NPI

Verde Pharmacy and Medical Supply LLC

  • Long Term Care Pharmacy
  • Mesquite, TX
National Provider Identifier
1669940250
Registry record updated Nov 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
VERDE PHARMACY AND MEDICAL SUPPLY LLC
Practice address
2929 N Galloway Ave Ste 116
Mesquite, TX 75150-4800
Phone
(972) 807-2493
NPI assigned
Nov 13, 2018
Organization subpart
Yes
Parent organization
VERDE PHARMACY & MEDICAL SUPPLY LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 13, 2018

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

Authorized official

Name
Osaru Okoro
Title
Owner
Phone
(972) 807-2493

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

2929 N Galloway Ave Ste 116
Mesquite, TX 75150-4800

Mailing address

2929 N Galloway Ave Ste 116
Mesquite, TX 75150-4800

Other names 1

  • VERDE PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Verde Pharm Medical Supply2 organizations share this tax ID, including this one
Part of
Verde Pharm Medical Supply

Other organizations with this tax ID 1

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1542067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542067200000",
    "number": "1669940250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2929 N GALLOWAY AVE STE 116",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751504800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2929 N GALLOWAY AVE STE 116",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751504800",
            "telephone_number": "972-807-2493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERDE PHARMACY AND MEDICAL SUPPLY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VERDE PHARMACY & MEDICAL SUPPLY LLC",
        "enumeration_date": "2018-11-13",
        "last_updated": "2018-11-13",
        "status": "A",
        "authorized_official_last_name": "OKORO",
        "authorized_official_first_name": "OSARU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-807-2493"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VERDE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mesquite, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2018; 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.