Organization Active NPI

TD Healthcare 2 LLC

Doing business as Twin Oaks Pharmacy

  • Long Term Care Pharmacy
  • Lubbock, TX
National Provider Identifier
1891219564
Registry record updated Aug 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
27815 Issued in TX
Legal business name
TD HEALTHCARE 2 LLC
Doing business as
Twin Oaks Pharmacy
Practice address
3436 34TH St
Lubbock, TX 79410-2830
Phone
(806) 799-3636
Fax
(806) 795-4622
NPI assigned
Aug 3, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2017

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

Authorized official

Name
David L Fung, RPH
Title
Managing Officer
Phone
(813) 244-9882

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X 27815 TX Primary

Addresses

Primary practice location

3436 34TH St
Lubbock, TX 79410-2830

Mailing address

10113 Chicago Ave
Lubbock, TX 79424-8254
Phone (813) 244-9882

Other identifiers 1

IdentifierTypeStateIssuer
148536MedicaidTX

Other names 1

  • Twin Oaks Pharmacy 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": "1501718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501718400000",
    "number": "1891219564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10113 CHICAGO AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794248254",
            "telephone_number": "813-244-9882",
            "fax_number": "806-783-0883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3436 34TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794102830",
            "telephone_number": "806-799-3636",
            "fax_number": "806-795-4622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TD HEALTHCARE 2 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-03",
        "last_updated": "2017-08-03",
        "status": "A",
        "authorized_official_last_name": "FUNG",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGING OFFICER",
        "authorized_official_telephone_number": "813-244-9882",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "TX",
            "license": "27815",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148536",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Twin Oaks Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lubbock, TX

Sources for this page

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