Prime Therapeutics LLC

Primary specialty

Specialty PharmacyTaxonomy code 3336S0011X

License

24033 Issued in TX

Legal business name

PRIME THERAPEUTICS LLC

Doing business as

Prime Therapeutics LLC

Practice address

2901 Kinwest Pkwy Ste 250
Irving, TX 75063-5815

Phone

(972) 630-1065

NPI assigned

Apr 28, 2016

Last updated

Apr 28, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jagruti Patel-Herron

Title

Pharmacist in Charge

Phone

(972) 630-1065

Specialties & licenses 2

Addresses

Other names 1

• Prime Therapeutics LLC Doing business as

Tax ID family

Prime Therapeutics LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Prime Therapeutics LLC

  • Mail Order Pharmacy
  • Albuquerque, NM
  • NPI 1265508360
  NPD tax ID
• Prime Therapeutics LLC

  • Mail Order Pharmacy
  • Eagan, MN
  • NPI 1669601878
  NPD tax ID

Locations

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

{
    "created_epoch": "1461801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461801600000",
    "number": "1972958882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 KINWEST PKWY STE 250",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750635815",
            "telephone_number": "972-630-1065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 KINWEST PKWY STE 250",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750635815",
            "telephone_number": "972-630-1065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME THERAPEUTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-28",
        "last_updated": "2016-04-28",
        "status": "A",
        "authorized_official_last_name": "PATEL-HERRON",
        "authorized_official_first_name": "JAGRUTI",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "972-630-1065"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "TX",
            "license": "24033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prime Therapeutics LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Preston Medical Solutions LLC
• Mackenzie Elizabeth Preston, CF-SLP
• Jamienne Young Price, D.C.
• Ernesto Prida
• Prime Neurology PLLC
• Katy Kay Primeaux
• Garrett Lamont Prince
• Pristine Smiles of Irving
• Priyanka Agarwal MD PLLC (Prime Endocrinology and Diabetes)
• Pro Fit Optix, Inc. (PFO Global)

• Specialty Pharmacy in Irving, TX
• Providers in Irving, TX by specialty
• Specialty Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.