TARRANT COUNTY HOSPITAL DISTRICT (NPI# 1205383510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205383510 |
| Entity Type | Organization |
| Organization Name | TARRANT COUNTY HOSPITAL DISTRICT |
| Other Organization Name | JPS HEALTH NETWORK CENTRAL FILL PHARMACY |
| Practice Address |
4701 Bryant Irvin Rd N Ll215 Fort Worth TX 76107-7627 |
| Mailing Address |
4701 Bryant Irvin Rd N Ll215 Ft Worth TX 76107-7627 |
| Practice Telephone | 8177023531 |
| Practice Fax Number | 8177026748 |
| Mailing Telephone | 8177023531 |
| Mailing Fax Number | 8177026748 |
| Enumeration Date | 2016-09-02 |
| Last Update Date | 2019-09-10 |
| Authorized Official Name | ROSS HALSNE (VICE PRESIDENT-PHARMACY CONTRACTING) |
| Authorized Official Telephone | 8062427782 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336M0002X |
Pharmacy Specialization: Mail Order Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | 19478 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2163943 | 01 |
| Other Name | Type Code |
|---|---|
| JPS Health Network Central Fill Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760723472 | Tarrant County Hospital District | Pharmacy | 4701 Bryant Irvin Rd N Ste Ll215, Ft Worth, TX 76107-7627 | 2013-03-05 |
| 1487739777 | Tarrant County Hospital District | Pharmacy | 3301 Stalcup Rd, Ft Worth, TX 76119-1726 | 2006-10-26 |
| 1497791867 | Tarrant County Hospital District | Pharmacy | 3308 Deen Rd, Ft Worth, TX 76106-6524 | 2006-06-22 |
| 1184274094 | Tarrant County Hospital District | Pharmacy | 1450 8th Ave, Ft Worth, TX 76104-4110 | 2019-09-13 |
| 1396254553 | Tarrant County Hospital District | Pharmacy | 1500 S Main St, Fort Worth, TX 76104-4917 | 2017-09-20 |
| 1144739319 | Tarrant County Hospital District | Pharmacy | 1500 S Main St, Fort Worth, TX 76104-4917 | 2017-09-20 |
| 1497274575 | Tarrant County Hospital District | Pharmacy | 1500 S Main Street, Opc-1, Fort Worth, TX 76104-4917 | 2017-09-11 |
| 1770873192 | Tarrant County Hospital District | Student in an Organized Health Care Education/Training Program | 1500 S Main St, Fort Worth, TX 76104-4917 | 2011-04-19 |
| 1649402652 | Tarrant County Hospital District | Pharmacy | 2737 Sherman St, Grand Prairie, TX 75051-1027 | 2009-08-10 |
| 1063678324 | Tarrant County Hospital District | Pharmacy | 6601 Watauga Rd, Ste 126, Watauga, TX 76148-3331 | 2008-08-05 |
| Street Address |
4701 BRYANT IRVIN RD N LL215 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76107-7627 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700839123 | Marija Djokovic | Psychiatry & Neurology | 4701 Bryant Irvin Rd N, Fort Worth, TX 76107-7627 | 2006-05-18 |
| 1669848636 | Patrick Sajous Simon | Pharmacist | 4701 Bryant Irvin Rd N, Fort Worth, TX 76107-7627 | 2015-08-13 |
| 1225414501 | Jps Hospital | Chronic Disease Hospital | 4701 Bryant Irvin Rd N, Fort Worth, TX 76107-7627 | 2015-08-10 |
| 1629458641 | Silas Po Kwong Lai | Dentist | 4701 Bryant Irvin Rd N, Fort Worth, TX 76107-7627 | 2015-06-04 |
| 1710305735 | Umang Patel | Family Medicine | 4701 Bryant Irvin Rd N, Fort Worth, TX 76107-7627 | 2014-04-07 |
| 1194099085 | Charity Jolynn Stauter | Nurse Practitioner | 4701 Bryant Irvin Rd N, Fort Worth, TX 76107-7627 | 2012-02-24 |
| 1841359726 | Sonya Austin | Dentist | 4701 Bryant Irvin Rd N, Fort Worth, TX 76107-7627 | 2006-12-07 |
| 1932203106 | Nita M Ragle | Physician Assistant | 4701 Bryant Irvin Rd N, Fort Worth, TX 76107-7627 | 2006-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629683602 | Renovo Wound and Hyperbarics Pllc | Emergency Medicine | 5668 Edwards Ranch Road, Suite 101, Fort Worth, TX 76107 | 2020-09-15 |
| 1669085437 | Ryan Bourgeois | Nurse Practitioner | 2917 Crocket Street, Fort Worth, TX 76107 | 2020-08-31 |
| 1053920546 | Christa Marie Widjaja | Optometrist | 1700 Montgomery St, Fort Worth, TX 76107 | 2020-07-30 |
| 1093351355 | Raymond Iannone | Pharmacist | 850 Montgomery St, Suite #310, Fort Worth, TX 76107 | 2019-11-21 |
| 1053963744 | Cumulus Injury Resolution, Inc. | Chiropractor | 4936 Byers Avenue, Fort Worth, TX 76107 | 2019-07-12 |
| 1770135576 | Shadia Osakwe | Physician Assistant | 855 Montgomery Street, Pediatric Clinic, Fort Worth, TX 76107 | 2019-07-11 |
| 1568945442 | Sachin P Patel | Physical Therapist | 4825 Wellesley St, Fort Worth, TX 76107 | 2018-09-07 |
| 1023594025 | Ftw Pharmacy Services Inc | Durable Medical Equipment & Medical Supplies | 2912 W 6th St Ste 150, Fort Worth, TX 76107 | 2018-07-13 |
| 1669974325 | Helen Williamson Elliott | Counselor | 1751 River Run #217, Fort Worth, TX 76107 | 2018-03-08 |
| 1487156931 | Pelvic Neuromonitoring Pllc | Electrodiagnostic Medicine | 111 Boland St #211, Ft Worth, TX 76107 | 2018-03-01 |
| Find all providers in zip 76107 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528672342 | Still Living LLC | Pharmacy | 5344a N Tarrant Pkwy, Fort Worth, TX 76244-6293 | 2020-08-31 |
| 1134618648 | A-class Park Place Pharmacy LLC | Pharmacy | 1001 12th Ave Ste 156, Fort Worth, TX 76104-3929 | 2018-05-09 |
| 1053818344 | Texas Digestive Disease Consultants Pllc | Pharmacy | 6317 Harris Pkwy Ste 320, Fort Worth, TX 76132-4256 | 2018-04-12 |
| 1659881423 | University of Texas Southwestern Medical Center At Dallas | Pharmacy | 600 S Main St Ste 1.102, Fort Worth, TX 76104-2410 | 2017-10-06 |
| 1467996314 | Westlake Health & Beauty Products | Pharmacy | 5421 Basswood Blvd Ste 700, Fort Worth, TX 76137-4483 | 2016-12-12 |
| 1033663521 | Oncology Pharmacy Services Inc. | Pharmacy | Texas Oncology Pharmacy - Sw Fort Worth, 6500 Harris Parkway Suite #100, Fort Worth, TX 76132 | 2016-08-12 |
| 1992169395 | University of Texas Southwestern Medical Center At Dallas | Pharmacy | 400 W Magnolia Ave Ste 2500, Fort Worth, TX 76104-7617 | 2016-04-12 |
| 1487036687 | Sechanz Enterprises Inc | Pharmacy | 6306 Meadowbrook Dr, Fort Worth, TX 76112-5121 | 2015-06-24 |
| 1174862718 | The Main Pharmacy | Pharmacy | 1226 S Main St, Fort Worth, TX 76104-4803 | 2013-02-01 |
| 1942546395 | Aids Healthcare Foundation | Pharmacy | 400 N Beach St Ste 102, Fort Worth, TX 76111-7070 | 2012-12-12 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76107 |
Please comment or provide details below to improve the information on TARRANT COUNTY HOSPITAL DISTRICT.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.