Organization Active NPI

Ap Pharmacy LLC

Doing business as A & P Pharmacy

  • Community/Retail Pharmacy
  • Fort Worth, TX
National Provider Identifier
1700984358
Registry record updated Nov 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
18235 Issued in TX
Legal business name
AP PHARMACY LLC
Doing business as
A & P Pharmacy
Practice address
2329 N Riverside Dr
Fort Worth, TX 76111-2904
Phone
(817) 838-2319
Fax
(817) 838-9577
NPI assigned
Sep 20, 2006
Last updated
Nov 11, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
A & P PHARMACY, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 11, 2021

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

Authorized official

Name
Manohar Miryala
Title
Officer
Phone
(817) 838-2319

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 18235 TX Primary
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

2329 N Riverside Dr
Fort Worth, TX 76111-2904

Mailing address

2329 N Riverside Dr
Fort Worth, TX 76111
Phone (817) 838-2319

Other identifiers 1

IdentifierTypeStateIssuer
144633MedicaidTX

Other names 1

  • A & P Pharmacy Doing business as

National Provider Directory

National Provider Directory
Part of
A P Pharmacy Inc

Locations

2329 N Riverside Dr
Fort Worth, TX 76111
Phone (817) 838-2319

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636588800000",
    "number": "1700984358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2329 N RIVERSIDE DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76111",
            "telephone_number": "817-838-2319",
            "fax_number": "817-838-9577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2329 N RIVERSIDE DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761112904",
            "telephone_number": "817-838-2319",
            "fax_number": "817-838-9577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AP PHARMACY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "A & P PHARMACY, INC.",
        "enumeration_date": "2006-09-20",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A",
        "authorized_official_last_name": "MIRYALA",
        "authorized_official_first_name": "MANOHAR",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "817-838-2319"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "18235",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "144633",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A & P Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "A & P Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2021; 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.