Worthington LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

WORTHINGTON LLC

Doing business as

Texas Direct RX

Practice address

951 E Loop 304 Ste D
Crockett, TX 75835-5403

Phone

(936) 283-5501

Fax

(936) 545-2843

NPI assigned

Jun 17, 2020

Organization subpart

No

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

Authorized official

Name

Randal Rust

Title

Owner

Phone

(936) 283-5501

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Texas Direct RX Doing business as

Locations

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

{
    "created_epoch": "1592352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616457600000",
    "number": "1902422769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "951 E LOOP 304 STE D",
            "city": "CROCKETT",
            "state": "TX",
            "postal_code": "758355403",
            "telephone_number": "936-283-5501",
            "fax_number": "936-545-2843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 E LOOP 304 STE D",
            "city": "CROCKETT",
            "state": "TX",
            "postal_code": "758355403",
            "telephone_number": "936-283-5501",
            "fax_number": "936-545-2843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WORTHINGTON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-17",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A",
        "authorized_official_last_name": "RUST",
        "authorized_official_first_name": "RANDAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "936-283-5501"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BOARD OF PHARMACY",
            "identifier": "33288",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "691107",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Texas Direct RX",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Texas Direct RX",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Crockett, TX
• Providers in Crockett, 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 Mar 23, 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.