TD Healthcare LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

27633 Issued in TX

Legal business name

TD HEALTHCARE LLC

Doing business as

Denver City Pharmacy

Practice address

105 E Broadway St
Denver City, TX 79323-3225

Phone

(806) 592-3333

Fax

(806) 592-3633

NPI assigned

Sep 7, 2011

Last updated

Aug 3, 2017By 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

David Fung, RPHNPI 1790381911

Title

Owner/Managing Officer

Phone

(813) 244-9882

Specialties & licenses 5

Addresses

Other names 1

• Denver City Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David L Fung, RPH

  • Pharmacist
  • Lubbock, TX
  • NPI 1790381911
  NPD (past) Authorized official
• Tarun Patel

  • Pharmacist
  • Crosbyton, TX
  • NPI 1104429596
  NPD
• Nicole M Mahabir-Herrera, PHARMD

  • Pharmacist
  • Lubbock, TX
  • NPI 1578154274
  NPD (past)

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

{
    "created_epoch": "1315353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501718400000",
    "number": "1821379587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 E BROADWAY ST",
            "city": "DENVER CITY",
            "state": "TX",
            "postal_code": "793233225",
            "telephone_number": "806-592-3333",
            "fax_number": "806-592-3633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 E BROADWAY ST",
            "city": "DENVER CITY",
            "state": "TX",
            "postal_code": "793233225",
            "telephone_number": "806-592-3333",
            "fax_number": "806-592-3633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TD HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-07",
        "last_updated": "2017-08-03",
        "status": "A",
        "authorized_official_last_name": "FUNG",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER/MANAGING OFFICER",
        "authorized_official_telephone_number": "813-244-9882",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "27633",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Denver City Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Julia Kathleen Pirtle, LPC
• Refined Health and Performance PLLC (Refined Health and Performance)
• Sarala Kumari Sajja, PHARMACIST
• South Plains Public Health District
• South Plains Renal Associates
• Tiffany D Murrish
• Frank Villanueva, COTA
• Marlin Villegas, FNP-C
• Yoakum County Hospital
• Yoakum County Medical Associates PLLC

• Community/Retail Pharmacy in Denver City, TX
• Providers in Denver City, 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 Aug 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.