Organization Active NPI

Lifechek RX Group LLC

  • Community/Retail Pharmacy
  • Shenandoah, TX
National Provider Identifier
1972880797
Registry record updated Nov 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
27701 Issued in TX
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

Updated by the provider on Nov 18, 2015

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
466795MedicaidTX
2131948OtherPK

Other names 1

  • Village Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.