Organization Active NPI

Pro Med Pharmacies Inc

  • Pharmacy
  • Amarillo, TX
National Provider Identifier
1841263951
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
13048 Issued in TX
Legal business name
PRO MED PHARMACIES INC
Practice address
701 N Taylor
Amarillo, TX 79107-5279
Phone
(806) 376-8245
Fax
(806) 379-7514
NPI assigned
Feb 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Mr. Donald R Chrysler Jr.
Title
President Ceo
Phone
(806) 379-7126

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 0083114 TX
Pharmacy 333600000X 13048 TX Primary

Addresses

Primary practice location

701 N Taylor
Amarillo, TX 79107-5279

Mailing address

3615 SW 45TH Ave
Amarillo, TX 79109-5662
Phone (806) 379-7126

Other identifiers 8

IdentifierTypeStateIssuer
13048OtherTXTEXAS PHARMACY LICENSE
5403049900MedicaidKY
83114OtherTXMEDICAL DEVICE DISTRIBUTI
NRP57OtherCANON RESIDENT
9000358300MedicaidKY
108484001MedicaidTX
4578235OtherTXNCPDP
W0070866OtherTXCONTROLLED SUBSTANCE

National Provider Directory

National Provider Directory

Locations

3615 SW 45th Ave
Amarillo, TX 79109
Phone (806) 379-7311

701 N Taylor St
Amarillo, TX 79107
Phone (806) 376-8245

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1841263951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3615 SW 45TH AVE",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791095662",
            "telephone_number": "806-379-7126",
            "fax_number": "806-372-3984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 N TAYLOR",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791075279",
            "telephone_number": "806-376-8245",
            "fax_number": "806-379-7514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO MED PHARMACIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-09",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "CHRYSLER",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "806-379-7126",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0083114",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "TX",
            "license": "13048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS PHARMACY LICENSE",
            "identifier": "13048",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5403049900",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL DEVICE DISTRIBUTI",
            "identifier": "83114",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NON RESIDENT",
            "identifier": "NRP57",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000358300",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "108484001",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "4578235",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONTROLLED SUBSTANCE",
            "identifier": "W0070866",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.