Triwest Specialty Pharmacy LP

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

29811 Issued in TX

Legal business name

TRIWEST SPECIALTY PHARMACY LP

Practice address

1940 Enchanted Way Ste 103a
Grapevine, TX 76051-0965

Phone

(972) 914-4990

Fax

(214) 461-0436

NPI assigned

Apr 2, 2015

Organization subpart

No

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

Authorized official

Name

Umair Ahmad

Title

Officer

Phone

(214) 226-2973

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• TRIWEST Specialty Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1427932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466467200000",
    "number": "1962897231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1940 ENCHANTED WAY STE 103A",
            "address_2": "PO BOX 277",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760510965",
            "telephone_number": "214-226-2973",
            "fax_number": "800-874-4085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 ENCHANTED WAY STE 103A",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760510965",
            "telephone_number": "972-914-4990",
            "fax_number": "214-461-0436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIWEST SPECIALTY PHARMACY LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-02",
        "last_updated": "2016-06-21",
        "status": "A",
        "authorized_official_last_name": "AHMAD",
        "authorized_official_first_name": "UMAIR",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "214-226-2973"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "29811",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2151327",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TRIWEST Specialty Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Grapevine, TX
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2016; 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.