NPIMap

Organization Active NPI

Red River Pharmacy Services Inc

Doing business as Red River Nuclear Pharmacy

  • Nuclear Pharmacy
  • Texarkana, TX
National Provider Identifier
1770178923
Registry record updated Mar 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear PharmacyTaxonomy code 3336N0007X
Legal business name
RED RIVER PHARMACY SERVICES INC
Doing business as
Red River Nuclear Pharmacy
Practice address
1550 Moores LN Ste C
Texarkana, TX 75503-4657
Phone
(903) 792-4825
Fax
(844) 245-7447
NPI assigned
Mar 9, 2021
Last updated
Mar 9, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
RED RIVER PHARMACY SERVICES INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 9, 2021

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

Authorized official

Name
Robin Brule
Title
Director of Business
Phone
(903) 792-7435

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Pharmacy 3336N0007X NU Primary

Addresses

Primary practice location

1550 Moores LN Ste C
Texarkana, TX 75503-4657

Mailing address

1550 Moores LN Ste C
Texarkana, TX 75503-4657
Phone (903) 792-4825

Other identifiers 2

IdentifierTypeStateIssuer
33498OtherTXBOP LICENSE
OS03058OtherARBOP LICENSE

Other names 1

  • Red River Nuclear Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Red River Pharmacy Services5 organizations share this tax ID, including this one
Part of
Red River Pharmacy Services

Other organizations with this tax ID 4

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

Locations

1550 Moores Ln
Ste C
Texarkana, TX 75503
Phone (903) 792-4825

NPI Registry JSON

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

{
    "created_epoch": "1615248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615248000000",
    "number": "1770178923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 MOORES LN STE C",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755034657",
            "telephone_number": "903-792-4825",
            "fax_number": "844-245-7447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 MOORES LN STE C",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755034657",
            "telephone_number": "903-792-4825",
            "fax_number": "844-245-7447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED RIVER PHARMACY SERVICES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RED RIVER PHARMACY SERVICES INC",
        "enumeration_date": "2021-03-09",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A",
        "authorized_official_last_name": "BRULE",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "DIRECTOR OF BUSINESS",
        "authorized_official_telephone_number": "903-792-7435"
    },
    "taxonomies": [
        {
            "code": "3336N0007X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Nuclear Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOP LICENSE",
            "identifier": "33498",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOP LICENSE",
            "identifier": "OS03058",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Red River Nuclear Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Texarkana, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; 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.