Grapevine Drug Mart Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

16060 Issued in TX

Legal business name

GRAPEVINE DRUG MART INC

Practice address

1115 W Northwest Hwy Ste H
Grapevine, TX 76051-5010

Phone

(817) 481-5780

Fax

(817) 442-0435

NPI assigned

Jun 11, 2006

Organization subpart

No

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

Authorized official

Name

Stacy Dannels, RPH

Title

Pic

Phone

(817) 481-5780

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• GRAPEVINE DRUG MART INC Doing business as

Locations

Practitioners 3

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

• Joe Don Baker, R.PH.

  • Pharmacist
  • Grapevine, TX
  • NPI 1578890158
  NPD (past)
• Jason Lee Burket, PHARMD.

  • Pharmacist
  • Grapevine, TX
  • NPI 1851867303
  NPD (past)
• Joseph Moss, PHARMD

  • Pharmacist
  • Grapevine, TX
  • NPI 1386150324
  NPD (past)

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459900800000",
    "number": "1689616211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 W NORTHWEST HWY STE H",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760515010",
            "telephone_number": "817-481-5780",
            "fax_number": "817-442-0435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 W NORTHWEST HWY STE H",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760515010",
            "telephone_number": "817-481-5780",
            "fax_number": "817-442-0435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAPEVINE DRUG MART INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2016-04-06",
        "status": "A",
        "authorized_official_last_name": "DANNELS",
        "authorized_official_first_name": "STACY",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "817-481-5780",
        "authorized_official_credential": "RPH"
    },
    "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": "16060",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2103886",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GRAPEVINE DRUG MART INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Grapevine Cardiology
• Grapevine Chiropractic LLC
• Grapevine Colleyville Isd
• Grapevine Counseling Center, PLLC
• Grapevine Dental Center PLLC
• Grapevine Emergency Physicians PLLC
• Grapevine Health
• Grapevine Imaging & Pain Management Center LLC
• Grapevine Internal Medicine Centre
• Grapevine Interventional Pain Center, LLC

• Community/Retail Pharmacy in Grapevine, TX
• Providers in Grapevine, 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 Apr 6, 2016; 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.