Forest Drug Store LLC

Primary specialty

Clinic PharmacyTaxonomy code 3336C0002X

Legal business name

FOREST DRUG STORE LLC

Practice address

9550 Forest LN
Suite 606
Dallas, TX 75243-5905

Phone

(469) 804-7929

Fax

(469) 804-7930

NPI assigned

Sep 29, 2014

Organization subpart

No

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

Authorized official

Name

James Pringle, RPH

Title

Owner

Phone

(469) 323-1392

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

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

{
    "created_epoch": "1411948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411948800000",
    "number": "1831592393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9550 FOREST LN",
            "address_2": "SUITE 606",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752435905",
            "telephone_number": "469-804-7929",
            "fax_number": "469-804-7930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9550 FOREST LN",
            "address_2": "SUITE 606",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752435905",
            "telephone_number": "469-804-7929",
            "fax_number": "469-804-7930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREST DRUG STORE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-29",
        "last_updated": "2014-09-29",
        "status": "A",
        "authorized_official_last_name": "PRINGLE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-323-1392",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan Lowell Foreman, MPT
• Foremost Anesthesia
• Amanda Foresman, PT, DPT
• Forest Clinica Familiar LLC
• Forest Clinica Familiar, LLC
• Forest Eye
• Forest Family Clinic, LLC
• Forest Injury and Rehab Center, Inc. (DFW Injury Clinic)
• Forest Lane Imaging Partners
• Forest Lane Pediatrics

• Clinic Pharmacy in Dallas, TX
• Providers in Dallas, TX by specialty
• Clinic Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2014; 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.