Active NPI
Fitte Enterprises, Inc.
- Community/Retail Pharmacy
- Fort Worth, TX
National Provider Identifier
1720304082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 26867
- Legal business name
- FITTE ENTERPRISES, INC.
- Doing business as
- CRD MedServices Pharmacy
- Practice address
- 813 W Magnolia Ave
Fort Worth, TX 76104-4612 - Phone
- (817) 386-0674
- Fax
- (817) 386-0857
- NPI assigned
- Apr 12, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Matthew Moss, PHARM.D.
- Title
- Pharmacist-in-Charge
- Phone
- (214) 529-8381
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 26867 | TX | Primary |
Addresses
Primary practice location
813 W Magnolia Ave
Fort Worth, TX 76104-4612
Mailing address
813 W Magnolia Ave
Fort Worth, TX 76104-4612
Phone (817) 386-0674
Other names 1
- CRD MedServices Pharmacy
National Provider Directory
National Provider Directory- Tax ID family
- CRD Medservices LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Punta Gorda, FL
- NPI 1215234075
Locations
813 W Magnolia Ave
Fort Worth, TX 76104
Phone (817) 386-0674
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271030400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1271030400000",
"number": "1720304082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "813 W MAGNOLIA AVE",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761044612",
"telephone_number": "817-386-0674",
"fax_number": "817-386-0857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "813 W MAGNOLIA AVE",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761044612",
"telephone_number": "817-386-0674",
"fax_number": "817-386-0857"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FITTE ENTERPRISES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2010-04-12",
"last_updated": "2010-04-12",
"status": "A",
"authorized_official_last_name": "MOSS",
"authorized_official_first_name": "MATTHEW",
"authorized_official_title_or_position": "PHARMACIST-IN-CHARGE",
"authorized_official_telephone_number": "214-529-8381",
"authorized_official_credential": "PHARM.D."
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "TX",
"license": "26867",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "CRD MedServices 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 Apr 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.