Active NPI
Guardian Pharmacy of Texas LLC
- Long Term Care Pharmacy
- Arlington, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- License
- 31479
- Legal business name
- GUARDIAN PHARMACY OF TEXAS LLC
- Practice address
- 711 Directors Dr
Arlington, TX 76011-5103 - Phone
- (817) 633-6688
- Fax
- (817) 633-6678
- NPI assigned
- Jul 5, 2017
- Last updated
- Jan 24, 2022
- 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
- Tanner Corsini
- Title
- President
- Phone
- (817) 633-6688
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Compounding Pharmacy | 3336C0004X | |||
| Long Term Care Pharmacy | 3336L0003X | 31479 | TX | Primary |
Addresses
Primary practice location
711 Directors Dr
Arlington, TX 76011-5103
Mailing address
PO Box 11407
Dept #5595
Birmingham, AL 35246-5595
Phone (404) 810-0089
Other names 1
- Guardian Pharmacy of Dallas-Fort Worth
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | https://guardianpharmacydfw.com/ | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20171121002255 | TX | DME Supplier - Pharmacy | 8820355126 | Practice locations: Arlington, TX |
| O20181116000538 | TX | Part B Supplier - Mass Immunization (Roster Biller Only) | 8820355126 | Practice locations: Arlington, TX |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Guardian Pharmacy of Texas LLC | Immunosuppressive Drugs|Nebulizer Drugs | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
610 Magic Mile St
Arlington, TX 76011
Phone (817) 633-6688
711 Directors Dr
Arlington, TX 76011
Phone (817) 633-6688
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Geriatric Pharmacist
- Arlington, TX
- NPI 1033257464
-
- Pharmacist
- Roslindale, MA
- NPI 1053052001
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499212800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1642982400000",
"number": "1720509318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 11407",
"address_2": "DEPT #5595",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352465595",
"telephone_number": "404-810-0089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 DIRECTORS DR",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760115103",
"telephone_number": "817-633-6688",
"fax_number": "817-633-6678"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GUARDIAN PHARMACY OF TEXAS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-07-05",
"last_updated": "2022-01-24",
"certification_date": "2022-01-24",
"status": "A",
"authorized_official_last_name": "CORSINI",
"authorized_official_first_name": "TANNER",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "817-633-6688"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "TX",
"license": "31479",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "https://guardianpharmacydfw.com/",
"affiliation": "N",
"endpointDescription": "Health Information Exchange (HIE)",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Health Information Exchange (HIE)",
"address_1": "711 Directors Dr",
"city": "Arlington",
"state": "TX",
"country_code": "US",
"postal_code": "760115103",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Guardian Pharmacy of Dallas-Fort Worth",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Guardian Pharmacy of Dallas-Fort Worth",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Arlington, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.