NPIMap

Organization Active NPI

Davis City Pharmacy,Inc

  • Community/Retail Pharmacy
  • Weatherford, TX
National Provider Identifier
1699850628
Registry record updated Jun 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
DAVIS CITY PHARMACY,INC
Practice address
111 Trinity St
Weatherford, TX 76086-3358
Phone
(817) 594-3851
Fax
(817) 596-8857
NPI assigned
Oct 26, 2006
Last updated
Jun 19, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2023

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

Authorized official

Name
Brandi Chane
Title
President
Phone
(817) 594-3851

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 00379 TX
Community/Retail Pharmacy 3336C0003X NU Primary
Compounding Pharmacy 3336C0004X NU

Addresses

Primary practice location

111 Trinity St
Weatherford, TX 76086-3358

Mailing address

PO Box 640
Weatherford, TX 76086-0640
Phone (817) 594-3851

Other identifiers 1

IdentifierTypeStateIssuer
130588MedicaidTX

National Provider Directory

National Provider Directory

Locations

111 Trinity St
Weatherford, TX 76086
Phone (817) 594-3851

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687132800000",
    "number": "1699850628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 640",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760860640",
            "telephone_number": "817-594-3851",
            "fax_number": "817-596-8857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 TRINITY ST",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760863358",
            "telephone_number": "817-594-3851",
            "fax_number": "817-596-8857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIS CITY PHARMACY,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A",
        "authorized_official_last_name": "CHANE",
        "authorized_official_first_name": "BRANDI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-594-3851"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "00379",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130588",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Weatherford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.