The Barleo Corporation

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

04620 Issued in TX

Legal business name

THE BARLEO CORPORATION

Practice address

1316 Sycamore School Rd
Ste. 130
Fort Worth, TX 76134-4997

Phone

(817) 293-2441

Fax

(817) 568-0955

NPI assigned

May 9, 2006

Organization subpart

No

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

Authorized official

Name

Richard Lynn Irby, RPH

Title

President

Phone

(817) 293-2441

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• HALLMARK PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196380800000",
    "number": "1720037393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1316 SYCAMORE SCHOOL RD",
            "address_2": "STE. 130",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761344997",
            "telephone_number": "817-293-2441",
            "fax_number": "817-568-0955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1316 SYCAMORE SCHOOL RD",
            "address_2": "STE. 130",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761344997",
            "telephone_number": "817-293-2441",
            "fax_number": "817-568-0955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BARLEO CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-09",
        "last_updated": "2007-11-30",
        "status": "A",
        "authorized_official_last_name": "IRBY",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-293-2441",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "04620",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "04620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4503719",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HALLMARK PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Fort Worth, TX
• Providers in Fort Worth, 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 Nov 30, 2007; 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.