Individual provider Active NPI

Anthony J Collins, PHARMD

  • Geriatric Pharmacist
  • Temple, TX
National Provider Identifier
1700148558
Registry record updated Oct 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric PharmacistTaxonomy code 1835G0303X
License
RP439479 Issued in PA
Practice address
1905 SW H K Dodgen Loop
Temple, TX 76502-1814
Phone
(254) 778-1731
Fax
(254) 791-2266
NPI assigned
Jun 7, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Pharmacist 1835G0303X RP439479 PA Primary
Pharmacist 183500000X RPI000841 PA

Addresses

Primary practice location

1905 SW H K Dodgen Loop
Temple, TX 76502-1814

Mailing address

1105 Dry Ridge Rd
Harker Heights, TX 76548-7168
Phone (267) 254-4817

Other identifiers 4

IdentifierTypeStateIssuer
PST.022028OtherLALOUISIANA RPH LICENSE
T-15093OtherMSMISSISSIPPI RPH LICENSE
17383OtherOKOKLAHOMA RPH LICENSE
55715OtherTXTEXAS RPH LICENSE

Other names 1

  • Anthony J Amendolia Jr. Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
RPI000841PAMDPharmacist
RP439479PAMDGeriatric Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Collins Family Pharmacy LLC Current Accepting new patients

Locations

1905 SW H K Dodgen Loop
Temple, TX 76502
Phone (254) 298-2400

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1339027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728000000000",
    "number": "1700148558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 DRY RIDGE RD",
            "city": "HARKER HEIGHTS",
            "state": "TX",
            "postal_code": "765487168",
            "telephone_number": "267-254-4817",
            "fax_number": "254-791-2266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 SW H K DODGEN LOOP",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765021814",
            "telephone_number": "254-778-1731",
            "fax_number": "254-791-2266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "ANTHONY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-07",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835G0303X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Geriatric",
            "state": "PA",
            "license": "RP439479",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RPI000841",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LOUISIANA RPH LICENSE",
            "identifier": "PST.022028",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISSISSIPPI RPH LICENSE",
            "identifier": "T-15093",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OKLAHOMA RPH LICENSE",
            "identifier": "17383",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS RPH LICENSE",
            "identifier": "55715",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANTHONY",
            "last_name": "AMENDOLIA",
            "middle_name": "J",
            "suffix": "JR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Temple, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2024; 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.