Organization Active NPI

Rxcare Pharmacy, LLC

  • Pharmacy
  • Wylie, TX
National Provider Identifier
1780144147
Registry record updated Jan 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
RXCARE PHARMACY, LLC
Practice address
209 N Ballard Ave
Wylie, TX 75098
Phone
(972) 433-0699
Fax
(972) 435-9779
NPI assigned
Mar 21, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2020

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

Authorized official

Name
Igor Sereda
Title
Officer
Phone
(972) 433-0699

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

Addresses

Primary practice location

209 N Ballard Ave
Wylie, TX 75098

Mailing address

209 N Ballard Ave
Wylie, TX 75098
Phone (972) 433-0699

Other names 1

  • RxCare Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

209 N Ballard Ave
Wylie, TX 75098
Phone (972) 433-0699

NPI Registry JSON

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

{
    "created_epoch": "1553126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579046400000",
    "number": "1780144147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 N BALLARD AVE",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "75098",
            "telephone_number": "972-433-0699",
            "fax_number": "972-435-9779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 N BALLARD AVE",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "75098",
            "telephone_number": "972-433-0699",
            "fax_number": "972-435-9779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RXCARE PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-21",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A",
        "authorized_official_last_name": "SEREDA",
        "authorized_official_first_name": "IGOR",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "972-433-0699"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RxCare Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wylie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2020; 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.