Amarillo Diagnostic Clinic RX Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

15091 Issued in TX

Legal business name

AMARILLO DIAGNOSTIC CLINIC RX INC

Doing business as

ADC PHARMACY

Practice address

6700 W 9TH Ave
Amarillo, TX 79106-1701

Phone

(806) 358-0331

Fax

(806) 467-8651

NPI assigned

Jan 18, 2006

Organization subpart

No

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

Authorized official

Name

Stanley Britten, RPH

Title

Owner, Pic

Phone

(806) 679-0375

Specialties & licenses 4

Addresses

Other identifiers 3

Other names 1

• ADC PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in TX2 enrollments

Enrollment records 2

Tax ID family

Adc Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Amarillo Diagnostic Clinic RX Inc

  • Long Term Care Pharmacy
  • Amarillo, TX
  • NPI 1124506894
  NPD tax ID

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636329600000",
    "number": "1922088830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10003",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791160003",
            "telephone_number": "806-358-0331",
            "fax_number": "806-467-8651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 W 9TH AVE",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061701",
            "telephone_number": "806-358-0331",
            "fax_number": "806-467-8651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMARILLO DIAGNOSTIC CLINIC RX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-18",
        "last_updated": "2021-11-08",
        "certification_date": "2021-11-08",
        "status": "A",
        "authorized_official_last_name": "BRITTEN",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_title_or_position": "OWNER, PIC",
        "authorized_official_telephone_number": "806-679-0375",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "15091",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1438594",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2100590",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0913782-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADC PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ADC PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Amarillo, TX
• Providers in Amarillo, 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 Nov 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.