Organization Active NPI

Your RX Pharmacy Inc

  • Pharmacy
  • Grapevine, TX
National Provider Identifier
1679850101
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
27755 Issued in TX
Legal business name
YOUR RX PHARMACY INC
Practice address
2637 Ira E Woods Ave
#200
Grapevine, TX 76051-9010
Phone
(817) 416-2222
Fax
(817) 416-2223
NPI assigned
Nov 11, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Praful D Patel
Title
President
Phone
(214) 457-5571

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 27755 TX Primary

Addresses

Primary practice location

2637 Ira E Woods Ave
#200
Grapevine, TX 76051-9010

Mailing address

2637 Ira E Woods Ave
#200
Grapevine, TX 76051-9010
Phone (817) 416-2222

Other identifiers 5

IdentifierTypeStateIssuer
1679850101OtherTXNPI
D0185339OtherTXDPS-TEXAS STATE CONTROLLED SUBSTANCE LIC #
27755OtherTXRETAIL PHARMACY PERMIT
5904431OtherTXNCPDP/NABP
146481MedicaidTX

Other names 1

  • YOUR RX PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

2637 Ira E Woods Ave
Ste 200
Grapevine, TX 76051
Phone (817) 416-2222

NPI Registry JSON

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

{
    "created_epoch": "1320969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1679850101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2637 IRA E WOODS AVE",
            "address_2": "#200",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760519010",
            "telephone_number": "817-416-2222",
            "fax_number": "817-416-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2637 IRA E WOODS AVE",
            "address_2": "#200",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760519010",
            "telephone_number": "817-416-2222",
            "fax_number": "817-416-2223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR RX PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-11",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "PRAFUL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-457-5571"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "TX",
            "license": "27755",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1679850101",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DPS-TEXAS STATE CONTROLLED SUBSTANCE LIC #",
            "identifier": "D0185339",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RETAIL PHARMACY PERMIT",
            "identifier": "27755",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP/NABP",
            "identifier": "5904431",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146481",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "YOUR RX PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grapevine, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.