Organization Active NPI

Healthcare Pharmacy LLC

  • Pharmacy
  • Keller, TX
National Provider Identifier
1891046884
Registry record updated Mar 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
28254 Issued in TX
Legal business name
HEALTHCARE PHARMACY LLC
Doing business as
Healthcare Pharmacy LLC
Practice address
100 Bourland Rd Ste 160
Keller, TX 76248-3592
Phone
(817) 337-9998
Fax
(817) 337-9991
NPI assigned
Oct 1, 2012
Last updated
Mar 9, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2017

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

Authorized official

Name
Jacky Truong
Title
Pic
Phone
(817) 337-9998

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 28254 TX Primary
Community/Retail Pharmacy 3336C0003X NU
Compounding Pharmacy 3336C0004X NU

Addresses

Primary practice location

100 Bourland Rd Ste 160
Keller, TX 76248-3592

Mailing address

100 Bourland Rd Ste 160
Keller, TX 76248-3592
Phone (817) 337-9998

Other identifiers 1

IdentifierTypeStateIssuer
2137126OtherPK

Other names 1

  • Healthcare Pharmacy LLC Doing business as

National Provider Directory

National Provider Directory

Locations

100 Bourland Rd
Ste 160
Keller, TX 76248
Phone (817) 337-9998

NPI Registry JSON

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

{
    "created_epoch": "1349049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489017600000",
    "number": "1891046884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BOURLAND RD STE 160",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762483592",
            "telephone_number": "817-337-9998",
            "fax_number": "817-337-9991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BOURLAND RD STE 160",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762483592",
            "telephone_number": "817-337-9998",
            "fax_number": "817-337-9991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHCARE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-01",
        "last_updated": "2017-03-09",
        "status": "A",
        "authorized_official_last_name": "TRUONG",
        "authorized_official_first_name": "JACKY",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "817-337-9998"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "TX",
            "license": "28254",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2137126",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healthcare Pharmacy LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Keller, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2017; 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.