A-1 Drug Mart Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

Y005812 Issued in AZ

Legal business name

A-1 DRUG MART INC

Doing business as

Spence Pharmacy

Practice address

4821 River Oaks Blvd
Ft Worth, TX 76114-3097

Phone

(817) 626-3744

Fax

(817) 625-8103

NPI assigned

Aug 1, 2006

Last updated

Feb 25, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sander Spence, PHARMACY

Title

President

Phone

(817) 676-3744

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• SPENCE PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393286400000",
    "number": "1790791531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4821 RIVER OAKS BLVD",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761143097",
            "telephone_number": "817-626-3744",
            "fax_number": "817-625-8103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4821 RIVER OAKS BLVD",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761143097",
            "telephone_number": "817-626-3744",
            "fax_number": "817-625-8103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A-1 DRUG MART INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-01",
        "last_updated": "2014-02-25",
        "status": "A",
        "authorized_official_last_name": "SPENCE",
        "authorized_official_first_name": "SANDER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-676-3744",
        "authorized_official_credential": "PHARMACY"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "TX",
            "license": "1863",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AZ",
            "license": "Y005812",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "CO",
            "license": "6331",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "140827",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2096416",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SPENCE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Fort Worth, TX
• Providers in Fort Worth, 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 Feb 25, 2014; 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.