Organization Active NPI

Pro Med Pharmacies, Inc.

Doing business as Pro Med LTC

  • Community/Retail Pharmacy
  • Amarillo, TX
National Provider Identifier
1912293705
Registry record updated Sep 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
27608 Issued in TX
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 CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 20, 2012

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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

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.

Verify at the official NPI Registry.