Complete Pharmacy Services Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

23109 Issued in TX

Legal business name

COMPLETE PHARMACY SERVICES INC

Practice address

7606 Pebble Dr
Building 28
Fort Worth, TX 76118-6994

Phone

(817) 284-8280

Fax

(817) 284-0409

NPI assigned

Oct 24, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Joshua Trebert

Title

Owner

Phone

(817) 284-8280

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952485153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7606 PEBBLE DR",
            "address_2": "BUILDING 28",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761186994",
            "telephone_number": "817-284-8280",
            "fax_number": "817-284-0409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7606 PEBBLE DR",
            "address_2": "BUILDING 28",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761186994",
            "telephone_number": "817-284-8280",
            "fax_number": "817-284-0409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE PHARMACY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TREBERT",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-284-8280",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "TX",
            "license": "23109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145387",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.