NPIMap

Organization Active NPI

Activmedical Denton Inc

  • Community/Retail Pharmacy
  • Little Elm, TX
National Provider Identifier
1760428122
Registry record updated Nov 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
24403 Issued in TX
Legal business name
ACTIVMEDICAL DENTON INC
Doing business as
LITTLE ELM PHARMACY
Practice address
800 W Eldorado Pkwy
Ste 100
Little Elm, TX 75068-5088
Phone
(972) 294-2877
Fax
(972) 294-2870
NPI assigned
Jun 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2016

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

Authorized official

Name
James Brennan, RPHNPI 1922372606
Title
Pic
Phone
(972) 294-2877

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 24403 TX Primary

Addresses

Primary practice location

800 W Eldorado Pkwy
Ste 100
Little Elm, TX 75068-5088

Mailing address

800 W Eldorado Pkwy
Ste 100
Little Elm, TX 75068-5088
Phone (972) 294-2877

Other identifiers 1

IdentifierTypeStateIssuer
2098817OtherPK

Other names 1

  • LITTLE ELM PHARMACY Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478736000000",
    "number": "1760428122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 W ELDORADO PKWY",
            "address_2": "STE 100",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750685088",
            "telephone_number": "972-294-2877",
            "fax_number": "972-294-2870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W ELDORADO PKWY",
            "address_2": "STE 100",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750685088",
            "telephone_number": "972-294-2877",
            "fax_number": "972-294-2870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVMEDICAL DENTON INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2016-11-10",
        "status": "A",
        "authorized_official_last_name": "BRENNAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "972-294-2877",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "24403",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2098817",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LITTLE ELM PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Little Elm, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2016; 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.