NPIMap

Organization Active NPI

Pancho Independent Pharmacy Inc

Doing business as Creekwood Pharmacy

  • Non-Pharmacy Dispensing Site
  • Keller, TX
National Provider Identifier
1760959860
Registry record updated Oct 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
PANCHO INDEPENDENT PHARMACY INC
Doing business as
Creekwood Pharmacy
Practice address
790 Keller Pkwy Ste 1505
Keller, TX 76248-2403
Phone
(713) 253-5115
Fax
(817) 379-2677
NPI assigned
Oct 26, 2018
Last updated
Oct 26, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2018

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

Authorized official

Name
Dr. Francis Njie, PHAR-DNPI 1982530416
Title
President
Phone
(713) 253-5115

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X Primary

Addresses

Primary practice location

790 Keller Pkwy Ste 1505
Keller, TX 76248-2403

Mailing address

1108 Wishing Tree LN
Keller, TX 76248-5272
Phone (713) 253-5115

Other names 1

  • CREEKWOOD PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Doctor's Plaza Pharmacy5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

790 Keller Pkwy
Ste 1505
Keller, TX 76248
Phone (713) 253-5115

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": "1540512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540512000000",
    "number": "1760959860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 WISHING TREE LN",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762485272",
            "telephone_number": "713-253-5115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 KELLER PKWY STE 1505",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762482403",
            "telephone_number": "713-253-5115",
            "fax_number": "817-379-2677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANCHO INDEPENDENT PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-26",
        "last_updated": "2018-10-26",
        "status": "A",
        "authorized_official_last_name": "NJIE",
        "authorized_official_first_name": "FRANCIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-253-5115",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHAR-D"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CREEKWOOD PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Keller, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2018; 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.