Courage Pharmacy LLC

Primary specialty

PharmacistTaxonomy code 183500000X

License

28565 Issued in TX

Legal business name

COURAGE PHARMACY LLC

Practice address

3200 14TH St Ste 404
Plano, TX 75074-4423

Phone

(972) 943-0628

Fax

(972) 943-0629

NPI assigned

May 30, 2013

Organization subpart

No

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

Authorized official

Name

Vera O Edebiri, R.PHNPI 1790038552

Title

Pharmacist in-Charge

Phone

(972) 897-8445

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Vera O Edebiri, RPH

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Plano, TX
  • NPI 1790038552
  NPD Authorized official

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

{
    "created_epoch": "1369872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369872000000",
    "number": "1730526898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 14TH ST STE 404",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750744423",
            "telephone_number": "972-943-0628",
            "fax_number": "972-943-0629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 14TH ST STE 404",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750744423",
            "telephone_number": "972-943-0628",
            "fax_number": "972-943-0629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COURAGE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-30",
        "last_updated": "2013-05-30",
        "status": "A",
        "authorized_official_last_name": "EDEBIRI",
        "authorized_official_first_name": "VERA",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PHARMACIST IN-CHARGE",
        "authorized_official_telephone_number": "972-897-8445",
        "authorized_official_credential": "R.PH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "28565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pharmacist in Plano, TX
• Providers in Plano, TX by specialty
• Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2013; 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.