Organization Active NPI

T & W Pharmacy Inc

  • Pharmacy
  • Wichita Falls, TX
National Provider Identifier
1962472290
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
5764 Issued in TX
Legal business name
T & W PHARMACY INC
Practice address
1100 Scott St
Wichita Falls, TX 76301-4650
Phone
(940) 767-4345
Fax
(940) 767-1392
NPI assigned
Jan 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Ricky R Wardell, RPH
Title
Owner Pharmacist in Charge
Phone
(940) 767-4345

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 5764 TX Primary

Addresses

Primary practice location

1100 Scott St
Wichita Falls, TX 76301-4650

Mailing address

1100 Scott St
Wichita Falls, TX 76301-4650
Phone (940) 767-4345

Other identifiers 2

IdentifierTypeStateIssuer
141982MedicaidTX
4533762OtherNCPDP

Other names 1

  • Downtown Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

1100 Scott Ave
Wichita Falls, TX 76301
Phone (940) 767-4345

NPI Registry JSON

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962472290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 SCOTT ST",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763014650",
            "telephone_number": "940-767-4345",
            "fax_number": "940-767-1392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 SCOTT ST",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763014650",
            "telephone_number": "940-767-4345",
            "fax_number": "940-767-1392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T & W PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WARDELL",
        "authorized_official_first_name": "RICKY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "940-767-4345",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "TX",
            "license": "5764",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "141982",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "4533762",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Downtown Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wichita Falls, TX

Sources for this page

  • 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.