Organization Active NPI

Westpark Discount Pharmacy

  • Community/Retail Pharmacy
  • Euless, TX
National Provider Identifier
1760535900
Registry record updated Jun 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
24259 Issued in TX
Legal business name
WESTPARK DISCOUNT PHARMACY
Practice address
350 Westpark Way
Ste 300
Euless, TX 76040-3964
Phone
(817) 545-6600
Fax
(817) 545-6667
NPI assigned
Jan 19, 2007
Last updated
Jun 30, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2015

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

Authorized official

Name
Mr. Emmanuel O Egenti, RPHNPI 1720456908
Title
President & Ceo
Phone
(817) 545-6600

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 24259 TX Primary

Addresses

Primary practice location

350 Westpark Way
Ste 300
Euless, TX 76040-3964

Mailing address

350 Westpark Way
Suite 300
Euless, TX 76040-3964
Phone (817) 545-6600

Other identifiers 1

IdentifierTypeStateIssuer
145567MedicaidTX

Other names 1

  • WESTPARK DISCOUNT PHARMACY Other name

National Provider Directory

National Provider Directory
Tax ID family
Dym Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

350 Westpark Way
Ste 300
Euless, TX 76040
Phone (817) 545-6600

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435622400000",
    "number": "1760535900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 WESTPARK WAY",
            "address_2": "SUITE 300",
            "city": "EULESS",
            "state": "TX",
            "postal_code": "760403964",
            "telephone_number": "817-545-6600",
            "fax_number": "817-545-6667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 WESTPARK WAY",
            "address_2": "STE 300",
            "city": "EULESS",
            "state": "TX",
            "postal_code": "760403964",
            "telephone_number": "817-545-6600",
            "fax_number": "817-545-6667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTPARK DISCOUNT PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2015-06-30",
        "status": "A",
        "authorized_official_last_name": "EGENTI",
        "authorized_official_first_name": "EMMANUEL",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "817-545-6600",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "24259",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145567",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WESTPARK DISCOUNT PHARMACY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Euless, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2015; 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.