Organization Active NPI

Fotok Enterprises

  • Community/Retail Pharmacy
  • Lewisville, TX
National Provider Identifier
1881193282
Registry record updated Mar 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
31859 Issued in TX
Legal business name
FOTOK ENTERPRISES
Practice address
701 S Stemmons Fwy Ste 230
Lewisville, TX 75067-4519
Phone
(469) 771-3151
Fax
(469) 771-3152
NPI assigned
Feb 12, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2021

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

Authorized official

Name
Jimi KlementiNPI 1144872508
Title
Owner/Pharmacist
Phone
(469) 771-3151

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 31859 TX Primary

Addresses

Primary practice location

701 S Stemmons Fwy Ste 230
Lewisville, TX 75067-4519

Mailing address

701 S Stemmons Fwy
Suite #230
Lewisville, TX 75067-4547
Phone (469) 771-3151

Other identifiers 1

IdentifierTypeStateIssuer
149765MedicaidTX

Other names 1

  • KAREPLUS PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

701 S Stemmons Fwy
Ste 230
Lewisville, TX 75067
Phone (469) 771-3151

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": "1518393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616716800000",
    "number": "1881193282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 S STEMMONS FWY",
            "address_2": "SUITE #230",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750674547",
            "telephone_number": "469-771-3151",
            "fax_number": "469-771-3152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 S STEMMONS FWY STE 230",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750674519",
            "telephone_number": "469-771-3151",
            "fax_number": "469-771-3152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOTOK ENTERPRISES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-12",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A",
        "authorized_official_last_name": "KLEMENTI",
        "authorized_official_first_name": "JIMI",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "469-771-3151"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "31859",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149765",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KAREPLUS PHARMACY",
            "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 Mar 26, 2021; 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.