NPIMap

Organization Active NPI

Texas Community Pharmacy Services

  • Community/Retail Pharmacy
  • Denton, TX
National Provider Identifier
1679515977
Registry record updated Aug 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
21325 Issued in TX
Legal business name
TEXAS COMMUNITY PHARMACY SERVICES
Practice address
4400 Teasley LN Ste 100
Denton, TX 76210-4651
Phone
(940) 382-1618
Fax
(940) 898-1986
NPI assigned
Jun 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2016

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

Authorized official

Name
Kelly Selby, BS PHARMACYNPI 1386785053
Title
President/Pic
Phone
(940) 382-1618

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 21325 TX Primary
Compounding Pharmacy 3336C0004X
Long Term Care Pharmacy 3336L0003X
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

4400 Teasley LN Ste 100
Denton, TX 76210-4651

Mailing address

4400 Teasley LN
Suite 100
Denton, TX 76210-4650
Phone (940) 382-1618

Other identifiers 3

IdentifierTypeStateIssuer
200626370 AMedicaidOK
2097240OtherPK
145120MedicaidTX

Other names 1

  • COMMUNITY PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080920000095 TX Part B Supplier - Mass Immunization (Roster Biller Only) 0244307056 Practice locations: Denton, TX

National Provider Directory

National Provider Directory

Locations

4400 Teasley Ln
Ste 100
Denton, TX 76210
Phone (940) 382-1618

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470268800000",
    "number": "1679515977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 TEASLEY LN",
            "address_2": "SUITE 100",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762104650",
            "telephone_number": "940-382-1618",
            "fax_number": "940-898-1986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 TEASLEY LN STE 100",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762104651",
            "telephone_number": "940-382-1618",
            "fax_number": "940-898-1986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS COMMUNITY PHARMACY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-12",
        "last_updated": "2016-08-04",
        "status": "A",
        "authorized_official_last_name": "SELBY",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "PRESIDENT/PIC",
        "authorized_official_telephone_number": "940-382-1618",
        "authorized_official_credential": "BS PHARMACY"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "21325",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200626370 A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2097240",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145120",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COMMUNITY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Denton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2016; 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.