Collins Family Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

COLLINS FAMILY PHARMACY LLC

Doing business as

King's Daughters Pharmacy

Practice address

1905 SW H K Dodgen Loop Ste 101
Temple, TX 76502-1814

Phone

(254) 778-1731

Fax

(254) 791-2266

NPI assigned

Feb 13, 2019

Organization subpart

No

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

Authorized official

Name

Anthony Joseph Collins, PHARMDNPI 1700148558

Title

Owner/Pic

Phone

(254) 778-1731

Specialties & licenses 3

Addresses

Other identifiers 4

Other names 1

• King's Daughters Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anthony J Collins, PHARMD

  • Geriatric Pharmacist
  • Temple, TX
  • NPI 1700148558
  NPD Authorized official
• Chanin Clark Wright, PHARM.D.

  • Pediatric Pharmacist
  • Temple, TX
  • NPI 1427289370

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1550016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674691200000",
    "number": "1730645995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 DRY RIDGE RD",
            "city": "HARKER HEIGHTS",
            "state": "TX",
            "postal_code": "765487168",
            "telephone_number": "254-698-0734",
            "fax_number": "254-791-2266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 SW H K DODGEN LOOP STE 101",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765021814",
            "telephone_number": "254-778-1731",
            "fax_number": "254-791-2266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLINS FAMILY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-13",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER/PIC",
        "authorized_official_telephone_number": "254-778-1731",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "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": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIN",
            "identifier": "067BQLZF1",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150033",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE PHARMACY LICENSE TX",
            "identifier": "32593",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NON-RESIDENT PHARMACY LICENSE",
            "identifier": "NP001532",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "King's Daughters Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "King's Daughters Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shelley G. Cole, M.D.
• Jennifer Monique Coleman, PH.D, LPC, LCDC
• Peggy Lynn Coleman, LVN
• Christina Coley, NP
• Olivia Collado
• Anthony J Collins, PHARMD
• Braylee Walton Collins, DO
• Cecily Collins, P. T. A.
• Heather Lynn Collins
• Jason N Collins, M.D.

• Community/Retail Pharmacy in Temple, TX
• Providers in Temple, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.