Organization Active NPI

Elitepharma-RX

  • Compounding Pharmacy
  • Cedar Hill, TX
National Provider Identifier
1851932537
Registry record updated May 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Compounding PharmacyTaxonomy code 3336C0004X
Legal business name
ELITEPHARMA-RX
Practice address
613 Uptown Blvd Ste 105
Cedar Hill, TX 75104-3512
Phone
(469) 575-0034
Fax
(682) 888-1593
NPI assigned
Oct 3, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2020

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

Authorized official

Name
Christopher LloydNPI 1023659836
Title
Owner
Phone
(817) 300-5225

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Compounding Pharmacy 3336C0004X Primary

Addresses

Primary practice location

613 Uptown Blvd Ste 105
Cedar Hill, TX 75104-3512

Mailing address

613 Uptown Blvd Ste 105
Cedar Hill, TX 75104-3512
Phone (469) 575-0034

Other names 1

  • Key Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191107000590 TX Part B Supplier - Pharmacy 8224460548 Practice locations: Cedar Hill, TX

National Provider Directory

National Provider Directory

Locations

613 Uptown Blvd
Ste 105
Cedar Hill, TX 75104
Phone (469) 575-0034

Practitioners & affiliated clinicians

Practitioners 1

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": "1570060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588291200000",
    "number": "1851932537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 UPTOWN BLVD STE 105",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751043512",
            "telephone_number": "469-575-0034",
            "fax_number": "469-214-4911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 UPTOWN BLVD STE 105",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751043512",
            "telephone_number": "469-575-0034",
            "fax_number": "682-888-1593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITEPHARMA-RX",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-03",
        "last_updated": "2020-05-01",
        "certification_date": "2020-05-01",
        "status": "A",
        "authorized_official_last_name": "LLOYD",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-300-5225"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Key Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cedar Hill, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2020; 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.