Active NPI
MD Pharmacueticals LLC
Doing business as Italy Family Pharmacy
- Community/Retail Pharmacy
- Italy, TX
National Provider Identifier
1740507599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 26871
- Legal business name
- MD PHARMACUETICALS LLC
- Doing business as
- Italy Family Pharmacy
- Practice address
- 204 E Main St
Italy, TX 76651-3517 - Phone
- (972) 483-7667
- Fax
- (972) 483-7670
- NPI assigned
- May 3, 2010
- Last updated
- Apr 9, 2012
- Organization subpart
- Yes
- Parent organization
- MD PHARMACUETICALS LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Martin Dennis, R.PH
- Title
- President
- Phone
- (972) 822-3615
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 26871 | TX | Primary |
Addresses
Primary practice location
204 E Main St
Italy, TX 76651-3517
Mailing address
502 S Old Orchard LN
Suite 128
Lewisville, TX 75067-4370
Phone (972) 906-0067
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 26871 | Other | TX | TEXAS STATE BOARD OF PHARMACY |
Other names 1
- Italy Family Pharmacy
National Provider Directory
National Provider Directory- Tax ID family
- MD Pharmacueticals LLC
- Part of
- MD Pharmacueticals LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272844800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1333929600000",
"number": "1740507599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "502 S OLD ORCHARD LN",
"address_2": "SUITE 128",
"city": "LEWISVILLE",
"state": "TX",
"postal_code": "750674370",
"telephone_number": "972-906-0067",
"fax_number": "972-906-9084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 E MAIN ST",
"city": "ITALY",
"state": "TX",
"postal_code": "766513517",
"telephone_number": "972-483-7667",
"fax_number": "972-483-7670"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MD PHARMACUETICALS LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MD PHARMACUETICALS LLC",
"enumeration_date": "2010-05-03",
"last_updated": "2012-04-09",
"status": "A",
"authorized_official_last_name": "DENNIS",
"authorized_official_first_name": "MARTIN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "972-822-3615",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "R.PH"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "TX",
"license": "26871",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS STATE BOARD OF PHARMACY",
"identifier": "26871",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Italy Family Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Italy, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.