NPIMap

Organization Active NPI

Long Prairie Pharmacy LLC

  • Community/Retail Pharmacy
  • Flower Mound, TX
National Provider Identifier
1932473048
Registry record updated Oct 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
27944 Issued in TX
Legal business name
LONG PRAIRIE PHARMACY LLC
Doing business as
Long Prairie Pharmacy
Practice address
4921 Long Prairie Rd Ste 105
Suite 105
Flower Mound, TX 75028-2742
Phone
(972) 410-3773
Fax
(972) 410-3776
NPI assigned
Mar 7, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2013

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

Authorized official

Name
Praful Patel
Title
Owner
Phone
(972) 410-3773

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 27944 TX Primary

Addresses

Primary practice location

4921 Long Prairie Rd Ste 105
Suite 105
Flower Mound, TX 75028-2742

Mailing address

4921 Long Prairie Rd
Suite 105
Flower Mound, TX 75028-2716
Phone (972) 410-3773

Other identifiers 2

IdentifierTypeStateIssuer
146586MedicaidTX
2134230OtherPK

Other names 1

  • Long Prairie Pharmacy 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": "1331078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382745600000",
    "number": "1932473048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4921 LONG PRAIRIE RD",
            "address_2": "SUITE 105",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750282716",
            "telephone_number": "972-410-3773",
            "fax_number": "972-410-3776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4921 LONG PRAIRIE RD STE 105",
            "address_2": "SUITE 105",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750282742",
            "telephone_number": "972-410-3773",
            "fax_number": "972-410-3776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG PRAIRIE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-07",
        "last_updated": "2013-10-26",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "PRAFUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-410-3773"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "27944",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146586",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2134230",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Long Prairie Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Flower Mound, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2013; 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.