Organization Active NPI

Nexgen Pharmaceuticals LLC

  • Compounding Pharmacy
  • Weatherford, TX
National Provider Identifier
1770132607
Registry record updated Sep 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Compounding PharmacyTaxonomy code 3336C0004X
Legal business name
NEXGEN PHARMACEUTICALS LLC
Practice address
2005 Fort Worth Hwy Ste 100
Weatherford, TX 76086-4780
Phone
(817) 599-7781
NPI assigned
Sep 4, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2019

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

Authorized official

Name
Michael Russin
Title
Officer
Phone
(817) 678-8143

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Compounding Pharmacy 3336C0004X Primary

Addresses

Primary practice location

2005 Fort Worth Hwy Ste 100
Weatherford, TX 76086-4780

Mailing address

2005 Fort Worth Hwy Ste 100
Weatherford, TX 76086-4780
Phone (817) 599-7781

National Provider Directory

National Provider Directory

Locations

2005 Fort Worth Hwy
Ste 100
Weatherford, TX 76086
Phone (817) 598-5625

NPI Registry JSON

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

{
    "created_epoch": "1567555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567555200000",
    "number": "1770132607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 FORT WORTH HWY STE 100",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760864780",
            "telephone_number": "817-599-7781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 FORT WORTH HWY STE 100",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760864780",
            "telephone_number": "817-599-7781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEXGEN PHARMACEUTICALS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-04",
        "last_updated": "2019-09-04",
        "status": "A",
        "authorized_official_last_name": "RUSSIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "817-678-8143"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weatherford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2019; 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.