Texas Injured Workers Pharmacy

Primary specialty

Specialty PharmacyTaxonomy code 3336S0011X

License

20798 Issued in TX

Legal business name

TEXAS INJURED WORKERS PHARMACY

Doing business as

Texas Injured Workers Pharmacy

Practice address

2204 Park Springs Blvd
Ste B
Arlington, TX 76013-5642

Phone

(817) 861-3784

Fax

(817) 861-4638

NPI assigned

Dec 1, 2006

Last updated

Dec 20, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Paulette Salvant

Title

Pic

Phone

(817) 861-4631

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• TEXAS INJURED WORKERS PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387497600000",
    "number": "1881762680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 181013",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760961013",
            "fax_number": "817-861-4635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2204 PARK SPRINGS BLVD",
            "address_2": "STE B",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760135642",
            "telephone_number": "817-861-3784",
            "fax_number": "817-861-4638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS INJURED WORKERS PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2013-12-20",
        "status": "A",
        "authorized_official_last_name": "SALVANT",
        "authorized_official_first_name": "PAULETTE",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "817-861-4631"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "TX",
            "license": "20798",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2098059",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TEXAS INJURED WORKERS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Specialty Pharmacy in Arlington, TX
• Providers in Arlington, TX by specialty
• Specialty Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2013; 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.