Pecan Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

PECAN PHARMACY LLC

Practice address

1850 Lakepointe Dr Ste 300
Lewisville, TX 75057-6443

Phone

(214) 227-9765

Fax

(214) 227-9815

NPI assigned

Jan 20, 2021

Organization subpart

No

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

Authorized official

Name

Stanley Thomas

Title

President/Officer

Phone

(214) 227-9765

Specialties & licenses 1

Addresses

Other names 1

• Pecan Pharmacy Doing business as

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

{
    "created_epoch": "1611100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680480000000",
    "number": "1881284263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 LAKEPOINTE DR STE 300",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750576443",
            "telephone_number": "214-227-9765",
            "fax_number": "214-227-9815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 LAKEPOINTE DR STE 300",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750576443",
            "telephone_number": "214-227-9765",
            "fax_number": "214-227-9815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PECAN PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-20",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_title_or_position": "PRESIDENT/OFFICER",
        "authorized_official_telephone_number": "214-227-9765"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pecan Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pecan Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Lewisville, TX
• Providers in Lewisville, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.