Organization Active NPI

Partners Pharmacy of Texas, LLC

  • Long Term Care Pharmacy
  • Stafford, TX
National Provider Identifier
1710074745
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
30029 Issued in TX
Legal business name
PARTNERS PHARMACY OF TEXAS, LLC
Practice address
12503 Exchange Dr
Suite 536
Stafford, TX 77477-3699
Phone
(713) 747-0656
NPI assigned
Oct 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Authorized official

Name
James Matthews
Title
Coo
Phone
(609) 206-2664

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X 30029 TX Primary

Addresses

Primary practice location

12503 Exchange Dr
Suite 536
Stafford, TX 77477-3699

Mailing address

50 Lawrence Rd
Springfield, NJ 07081-3121
Phone (908) 931-7111

Other identifiers 2

IdentifierTypeStateIssuer
145233MedicaidTX
4520210OtherTXNCPDP

Other names 1

  • Advanced Pharmacy Services Doing business as

National Provider Directory

National Provider Directory

Locations

12503 Exchange Dr
Ste 536
Stafford, TX 77477
Phone (281) 269-8200

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1710074745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 LAWRENCE RD",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070813121",
            "telephone_number": "908-931-7111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12503 EXCHANGE DR",
            "address_2": "SUITE 536",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774773699",
            "telephone_number": "713-747-0656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARTNERS PHARMACY OF TEXAS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A",
        "authorized_official_last_name": "MATTHEWS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "609-206-2664"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "TX",
            "license": "30029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145233",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "4520210",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Pharmacy Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Advanced Pharmacy Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stafford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.