Centro Pediatric Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

26940 Issued in TX

Legal business name

CENTRO PEDIATRIC PHARMACY LLC

Practice address

7200 Glenview Dr Ste 1
Richland Hills, TX 76180-7612

Phone

(817) 369-8988

Fax

(817) 369-8991

NPI assigned

Jun 2, 2010

Last updated

Oct 19, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jackson Dang

Title

Pic

Phone

(817) 369-8988

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1275436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508371200000",
    "number": "1740500727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7200 GLENVIEW DR STE 1",
            "city": "RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761807612",
            "telephone_number": "817-537-2899",
            "fax_number": "817-977-9099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 GLENVIEW DR STE 1",
            "city": "RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761807612",
            "telephone_number": "817-369-8988",
            "fax_number": "817-369-8991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO PEDIATRIC PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-02",
        "last_updated": "2017-10-19",
        "status": "A",
        "authorized_official_last_name": "DANG",
        "authorized_official_first_name": "JACKSON",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "817-369-8988"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "26940",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2162498",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark Byarlay
• C3 Christian Academy LLC (88 Cents Galore Store)
• Courtney Leigh Callahan, LPC
• Centers for Long Term Care of Richland Hills, Inc
• Centerwell Senior Primary Care (TX) PA (CenterWell Senior Primary Care- North Richland Hills)
• Rebecca Cheatham, ATP
• City of Richland Hills (Richland Hills Fire Department)
• City Point Home Care LLC
• Complex Rehab Technologies LLC (Reliable Medical Supply)
• Coryell County Memorial Hospital Authority (Glenview Wellness & Rehabilitation)

• Community/Retail Pharmacy in Richland Hills, TX
• Providers in Richland Hills, 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 Oct 19, 2017; 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.