Organization Active NPI

Guardian Pharmacy of Texas LLC

  • Long Term Care Pharmacy
  • Arlington, TX
National Provider Identifier
1720509318
Registry record updated Jan 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
31479 Issued in TX
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2022

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)CodeLicenseStatePrimary
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 Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://guardianpharmacydfw.com/ Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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 NPIMap

These 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

SupplierSuppliesMedicare assignment
Guardian Pharmacy of Texas LLC711 Directors Dr, Arlington, TX 76011-5103(817) 633-6688 Immunosuppressive Drugs|Nebulizer Drugs Accepts assignmentParticipating since Sep 5, 2017

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.