NPIMap

Organization Active NPI

Davis City Pharmacy,Institutional,Inc

  • Pharmacist
  • Weatherford, TX
National Provider Identifier
1932273372
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
16099 Issued in TX
Legal business name
DAVIS CITY PHARMACY,INSTITUTIONAL,INC
Practice address
113 Austin Ave
Weatherford, TX 76086
Phone
(817) 599-5590
Fax
(817) 596-8857
NPI assigned
Nov 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Authorized official

Name
Mr. James T Coleman
Title
Pharmacist-Owner
Phone
(817) 594-3851

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 16099 TX Primary

Addresses

Primary practice location

113 Austin Ave
Weatherford, TX 76086

Mailing address

113 Austin Ave
Weatherford, TX 76086
Phone (817) 599-5590

Other identifiers 1

IdentifierTypeStateIssuer
145064MedicaidTX

National Provider Directory

National Provider Directory

Locations

113 Austin Ave
Weatherford, TX 76086
Phone (817) 599-5590

NPI Registry JSON

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

{
    "created_epoch": "1163808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1932273372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 AUSTIN AVE",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "76086",
            "telephone_number": "817-599-5590",
            "fax_number": "817-596-8857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 AUSTIN AVE",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "76086",
            "telephone_number": "817-599-5590",
            "fax_number": "817-596-8857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIS CITY PHARMACY,INSTITUTIONAL,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-18",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PHARMACIST-OWNER",
        "authorized_official_telephone_number": "817-594-3851",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "16099",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145064",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Weatherford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.