Active NPI
Pro Med Pharmacies, Inc.
Doing business as Pro Med LTC
- Community/Retail Pharmacy
- Amarillo, TX
National Provider Identifier
1912293705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 27608
- Legal business name
- PRO MED PHARMACIES, INC.
- Doing business as
- Pro Med LTC
- Practice address
- 704 N Polk
Amarillo, TX 79107-5248 - Phone
- (806) 379-6966
- Fax
- (806) 379-0006
- NPI assigned
- Jun 21, 2011
- Organization subpart
- Yes
- Parent organization
- CHRYSLER MANAGEMENT CORPORATION
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Donald Rea Chrysler Jr.
- Title
- President/Ceo
- Phone
- (806) 379-7126
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 27608 | TX | Primary |
| Community/Retail Pharmacy | 3336C0003X | FP2901848 | TX | |
| Community/Retail Pharmacy | 3336C0003X | H0183883 | TX | |
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
704 N Polk
Amarillo, TX 79107-5248
Mailing address
704 N Polk
Amarillo, TX 79107-5248
Phone (806) 379-6966
Other names 1
- Pro Med LTC
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Amarillo, TX
- NPI 1235333097
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308614400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1348099200000",
"number": "1912293705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "704 N POLK",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791075248",
"telephone_number": "806-379-6966",
"fax_number": "806-379-0006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "704 N POLK",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791075248",
"telephone_number": "806-379-6966",
"fax_number": "806-379-0006"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRO MED PHARMACIES, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CHRYSLER MANAGEMENT CORPORATION",
"enumeration_date": "2011-06-21",
"last_updated": "2012-09-20",
"status": "A",
"authorized_official_last_name": "CHRYSLER",
"authorized_official_first_name": "DONALD",
"authorized_official_middle_name": "REA",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "806-379-7126",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "TX",
"license": "27608",
"primary": true
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "TX",
"license": "FP2901848",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "TX",
"license": "H0183883",
"primary": false
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Pro Med LTC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Amarillo, TX
- Samuel Phillip Prince, PTA
- Thomas F Prince, L.P.T.
- Dawn M Pringle, MA., LPC
- Joshua Michael Pritchet
- Pro Med Pharmacies Inc
- Professional Case Management of Texas
- Professional Physical Therapy Services LLC (Advanced Health Systems)
- Professional Solutions
- Proffer Surgical Associates, LLP
- Proffer Surgical Center, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.