Collins RX LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

COLLINS RX LLC

Doing business as

COLLINS PHARMACY AND CAFE

Practice address

2160 N Collins St Ste 120
Arlington, TX 76011-2877

Phone

(469) 307-6162

NPI assigned

Jan 4, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Mahathi Kankanala, PHARM D

Title

Managing Member

Phone

(469) 307-6162

Specialties & licenses 3

Addresses

Other names 1

• COLLINS PHARMACY AND CAFE Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Tax ID family

Collins Health and Wellness2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Collins RX LLC

  • Clinic/Center
  • Arlington, TX
  • NPI 1457169948
  NPD tax ID

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

{
    "created_epoch": "1641254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687219200000",
    "number": "1982365748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2160 N COLLINS ST STE 120",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760112877",
            "telephone_number": "469-307-6162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2160 N COLLINS ST STE 120",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760112877",
            "telephone_number": "469-307-6162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLINS RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-04",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A",
        "authorized_official_last_name": "KANKANALA",
        "authorized_official_first_name": "MAHATHI",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "469-307-6162",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COLLINS PHARMACY AND CAFE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tasha Nicole Coleman, MD
• Tiffany Michele Coleman, MA, LPC-INTERN
• Colette Manning OD PC
• Stephanie Jean Collier, OTR
• Collins RX LLC
• Collins Street Pediatrics, PLLC
• Betty Brigman Collins, LPC
• Evelan Collins
• Hailey Ann Collins, M.S. CCC-SLP
• Kaleia Collins

• Community/Retail Pharmacy in Arlington, TX
• Providers in Arlington, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.