Organization Active NPI

Alsabrook Inc

  • Community/Retail Pharmacy
  • Arlington, TX
National Provider Identifier
1982717815
Registry record updated Jun 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
27218 Issued in TX
Legal business name
ALSABROOK INC
Practice address
975 N Cooper St
Arlington, TX 76011-5781
Phone
(817) 274-8221
Fax
(817) 861-3497
NPI assigned
Aug 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2016

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

Authorized official

Name
Jeff Alsabrook, CPHT
Title
Owner
Phone
(817) 274-8221

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 27218 TX Primary

Addresses

Primary practice location

975 N Cooper St
Arlington, TX 76011-5781

Mailing address

975 N Cooper St
Arlington, TX 76011-5781
Phone (817) 274-8221

Other identifiers 2

IdentifierTypeStateIssuer
143241MedicaidTX
2129954OtherPK

Other names 1

  • Ray's Town North Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

975 N Cooper St
Arlington, TX 76011
Phone (817) 274-8221

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465776000000",
    "number": "1982717815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 N COOPER ST",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760115781",
            "telephone_number": "817-274-8221",
            "fax_number": "817-861-3497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 N COOPER ST",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760115781",
            "telephone_number": "817-274-8221",
            "fax_number": "817-861-3497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALSABROOK INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2016-06-13",
        "status": "A",
        "authorized_official_last_name": "ALSABROOK",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-274-8221",
        "authorized_official_credential": "CPHT"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "27218",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "143241",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2129954",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ray's Town North Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.