Pharmacy Care USA of Addison, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28672 Issued in TX

Legal business name

PHARMACY CARE USA OF ADDISON, LLC

Practice address

4500 Ratliff LN Ste 102
Addison, TX 75001-3272

Phone

(972) 388-1800

Fax

(972) 388-1806

NPI assigned

Aug 29, 2013

Organization subpart

No

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

Authorized official

Name

Kent Abbott

Title

Manager

Phone

(405) 663-4111

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Pharmacy Care USA of Addison, LLC Doing business as

Tax ID family

Pharmacy Care USA of Addison LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Pharmacy Care USA of Addison, LLC

  • Long Term Care Pharmacy
  • Addison, TX
  • NPI 1669805628
  NPD tax ID

Locations

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

{
    "created_epoch": "1377734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377734400000",
    "number": "1689008377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 130",
            "city": "HYDRO",
            "state": "OK",
            "postal_code": "730480130",
            "telephone_number": "405-663-4111",
            "fax_number": "405-663-4114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 RATLIFF LN STE 102",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750013272",
            "telephone_number": "972-388-1800",
            "fax_number": "972-388-1806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMACY CARE USA OF ADDISON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-29",
        "last_updated": "2013-08-29",
        "status": "A",
        "authorized_official_last_name": "ABBOTT",
        "authorized_official_first_name": "KENT",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "405-663-4111"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "28672",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2141695",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pharmacy Care USA of Addison, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Annie Pham
• Cindy Quynhchi Phan, DDS
• Elizabeth T Phan, DPT
• Nichole Phan
• Pharmacy Care USA of Addison, LLC
• Dennis Phillips
• PHMT, LLC
• Phymed Neuromonitoring PLLC
• Melanie Rae Pickering, DO
• Elizabeth H Pilicy, BA, BS, DC

• Community/Retail Pharmacy in Addison, TX
• Providers in Addison, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2013; 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.