Organization Active NPI

United States Pharmaceutical Distributors, Inc.

  • Pharmacy
  • Lewisville, TX
National Provider Identifier
1861434490
Registry record updated Sep 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
23844 Issued in TX
Legal business name
UNITED STATES PHARMACEUTICAL DISTRIBUTORS, INC.
Doing business as
USPD
Practice address
1025 N Mill St
Lewisville, TX 75057-3040
Phone
(214) 764-8768
Fax
(214) 224-0063
NPI assigned
Jun 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2008

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

Authorized official

Name
Mr. Jerry W. Campbell
Title
President
Phone
(214) 774-4985

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 23844 TX Primary
Community/Retail Pharmacy 3336C0003X
Mail Order Pharmacy 3336M0002X

Addresses

Primary practice location

1025 N Mill St
Lewisville, TX 75057-3040

Mailing address

1025 N Mill St
Lewisville, TX 75057-3040

Other identifiers 1

IdentifierTypeStateIssuer
4539598OtherOTHER ID NUMBER-COMMERCIAL NUMBER

Other names 1

  • USPD Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220832000000",
    "number": "1861434490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 N MILL ST",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750573040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 N MILL ST",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750573040",
            "telephone_number": "214-764-8768",
            "fax_number": "214-224-0063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED STATES PHARMACEUTICAL DISTRIBUTORS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2008-09-08",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-774-4985",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "TX",
            "license": "23844",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "4539598",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "USPD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lewisville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2008; 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.