Active NPI
Lifechek RX Group LLC
- Community/Retail Pharmacy
- Shenandoah, TX
National Provider Identifier
1972880797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 27701
- Legal business name
- LIFECHEK RX GROUP LLC
- Practice address
- 1490 Research Forest Dr
Shenandoah, TX 77381-4370 - Phone
- (832) 948-1012
- Fax
- (832) 948-1019
- NPI assigned
- Nov 8, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Richard McMillan
- Title
- Owner
- Phone
- (832) 948-1012
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 27701 | TX | Primary |
Addresses
Primary practice location
1490 Research Forest Dr
Shenandoah, TX 77381-4370
Mailing address
1490 Research Forest Dr
Shenandoah, TX 77381-4370
Phone (832) 948-1012
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 466795 | Medicaid | TX | |
| 2131948 | Other | PK |
Other names 1
- Village Pharmacy
National Provider Directory
National Provider DirectoryLocations
1490 Research Forest Dr
Shenandoah, TX 77381
Phone (832) 948-1012
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320710400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1447804800000",
"number": "1972880797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1490 RESEARCH FOREST DR",
"city": "SHENANDOAH",
"state": "TX",
"postal_code": "773814370",
"telephone_number": "832-948-1012",
"fax_number": "832-948-1019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1490 RESEARCH FOREST DR",
"city": "SHENANDOAH",
"state": "TX",
"postal_code": "773814370",
"telephone_number": "832-948-1012",
"fax_number": "832-948-1019"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFECHEK RX GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-11-08",
"last_updated": "2015-11-18",
"status": "A",
"authorized_official_last_name": "MCMILLAN",
"authorized_official_first_name": "RICHARD",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "832-948-1012"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "TX",
"license": "27701",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "466795",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2131948",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Village Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Shenandoah, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.