Organization Active NPI

Xact RX LLC

  • Compounding Pharmacy
  • Weatherford, TX
National Provider Identifier
1790473718
Registry record updated Apr 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Compounding PharmacyTaxonomy code 3336C0004X
Legal business name
XACT RX LLC
Practice address
193 Coy Rd Ste 200
Weatherford, TX 76087-6601
Phone
(817) 631-8157
NPI assigned
Apr 27, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2023

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

Authorized official

Name
Trevor Jeffers
Title
Pharmacist in Charge
Phone
(817) 631-8157

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Compounding Pharmacy 3336C0004X Primary

Addresses

Primary practice location

193 Coy Rd Ste 200
Weatherford, TX 76087-6601

Mailing address

193 Coy Rd Ste 200
Weatherford, TX 76087-6601

National Provider Directory

National Provider Directory

Locations

193 Coy Rd
Ste 200
Weatherford, TX 76087
Phone (817) 631-8157

NPI Registry JSON

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

{
    "created_epoch": "1682553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682553600000",
    "number": "1790473718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "193 COY RD STE 200",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760876601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "193 COY RD STE 200",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760876601",
            "telephone_number": "817-631-8157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XACT RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-27",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A",
        "authorized_official_last_name": "JEFFERS",
        "authorized_official_first_name": "TREVOR",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "817-631-8157"
    },
    "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 Apr 27, 2023; 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.