Everest Services, Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

23115 Issued in TX

Legal business name

EVEREST SERVICES, INC

Practice address

2812 SE Loop 820
BLDG # 5a
Fort Worth, TX 76140-1012

Phone

(817) 568-2285

Fax

(817) 568-2252

NPI assigned

Aug 9, 2005

Organization subpart

No

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

Authorized official

Name

Ms. Ayesha Siddiqi

Title

Accounts Coordinator

Phone

(817) 784-2400

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790786945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 TECH CENTRE PKWY",
            "address_2": "SUITE # 110",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760144405",
            "telephone_number": "817-784-2400",
            "fax_number": "817-676-9148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2812 SE LOOP 820",
            "address_2": "BLDG # 5A",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761401012",
            "telephone_number": "817-568-2285",
            "fax_number": "817-568-2252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVEREST SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SIDDIQI",
        "authorized_official_first_name": "AYESHA",
        "authorized_official_title_or_position": "ACCOUNTS COORDINATOR",
        "authorized_official_telephone_number": "817-784-2400",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "TX",
            "license": "23115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP #",
            "identifier": "4537873",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pharmacy in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.