Active NPI
BGS Pharmacy Partners Inc
Doing business as Spectrum Pharmacy Services
- Long Term Care Pharmacy
- Grapevine, TX
National Provider Identifier
1730161738
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- License
- 24303
- Legal business name
- BGS PHARMACY PARTNERS INC
- Doing business as
- Spectrum Pharmacy Services
- Practice address
- 3500 William D Tate Ave Ste 200
Ste 200
Grapevine, TX 76051-8734 - Phone
- (817) 251-8073
- Fax
- (817) 552-1224
- NPI assigned
- Nov 16, 2005
- 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
- Brad Lanham
- Title
- President/Ceo
- Phone
- (817) 328-6421
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | 24303 | TX | Primary |
Addresses
Primary practice location
3500 William D Tate Ave Ste 200
Ste 200
Grapevine, TX 76051-8734
Mailing address
3500 William D Tate Ave
Ste 200
Grapevine, TX 76051-8749
Phone (817) 251-8073
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 146101 | Medicaid | TX | |
| 4539409 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| 350231 | Medicaid | TX |
Other names 1
- SPECTRUM PHARMACY SERVICES
National Provider Directory
National Provider Directory- Tax ID family
- BGS Pharmacy Partners Inc
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
dba The Hospice Pharmacy Group
- Long Term Care Pharmacy
- San Antonio, TX
- NPI 1154578771
-
dba Contract Pharmacy Services
- Long Term Care Pharmacy
- Colorado Springs, CO
- NPI 1053332007
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132099200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1308182400000",
"number": "1730161738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 WILLIAM D TATE AVE",
"address_2": "STE 200",
"city": "GRAPEVINE",
"state": "TX",
"postal_code": "760518749",
"telephone_number": "817-251-8073",
"fax_number": "817-552-1224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 WILLIAM D TATE AVE STE 200",
"address_2": "STE 200",
"city": "GRAPEVINE",
"state": "TX",
"postal_code": "760518734",
"telephone_number": "817-251-8073",
"fax_number": "817-552-1224"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BGS PHARMACY PARTNERS INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-16",
"last_updated": "2011-06-16",
"status": "A",
"authorized_official_last_name": "LANHAM",
"authorized_official_first_name": "BRAD",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "817-328-6421"
},
"taxonomies": [
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "TX",
"license": "24303",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "146101",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
"identifier": "4539409",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "350231",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "SPECTRUM PHARMACY SERVICES",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Grapevine, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.