Lenexa Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

LENEXA PHARMACY LLC

Practice address

412 Village Dr Ste 100a
Murphy, TX 75094-4631

Phone

(972) 423-0135

Fax

(972) 767-5048

NPI assigned

Mar 7, 2018

Organization subpart

No

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

Authorized official

Name

Isaac Bogonko

Title

Officer

Phone

(972) 423-0135

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1520380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520380800000",
    "number": "1790287647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7209 NORTHERN LIGHTS CT",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750748990",
            "telephone_number": "281-250-4134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 VILLAGE DR STE 100A",
            "city": "MURPHY",
            "state": "TX",
            "postal_code": "750944631",
            "telephone_number": "972-423-0135",
            "fax_number": "972-767-5048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LENEXA PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-07",
        "last_updated": "2018-03-07",
        "status": "A",
        "authorized_official_last_name": "BOGONKO",
        "authorized_official_first_name": "ISAAC",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "972-423-0135"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Retail Pharmacy in Murphy, TX
• Providers in Murphy, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.