LONG PRAIRIE PHARMACY LLC (NPI# 1619454204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619454204 |
| Entity Type | Organization |
| Organization Name | LONG PRAIRIE PHARMACY LLC |
| Practice Address |
4921 Long Prairie Rd Ste 105 Flower Mound TX 75028-2742 |
| Practice Telephone | 9724103773 |
| Practice Fax Number | 9724103776 |
| Mailing Telephone | 9724103773 |
| Mailing Fax Number | 9724103776 |
| Enumeration Date | 2018-07-26 |
| Last Update Date | 2018-07-26 |
| Authorized Official Name | VRAJESH SHETH (OFFICER/PIC) |
| Authorized Official Telephone | 9724103773 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336M0002X |
Pharmacy Specialization: Mail Order Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 146586 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932473048 | Long Prairie Pharmacy LLC | Pharmacy | 4921 Long Prairie Rd Ste 105, Suite 105, Flower Mound, TX 75028-2742 | 2012-03-07 |
| Street Address |
4921 LONG PRAIRIE RD STE 105 |
| City | FLOWER MOUND |
| State | TX |
| Zip Code | 75028-2742 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932473048 | Long Prairie Pharmacy LLC | Pharmacy | 4921 Long Prairie Rd Ste 105, Suite 105, Flower Mound, TX 75028-2742 | 2012-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578185047 | Too Health LLC | Home Health | 1404 Mimosa Ct, Flower Mound, TX 75028 | 2020-05-07 |
| 1417448127 | Kyle Miller | Physical Therapist | 4401 Long Prairie Rd Ste 300, Flower Mound, TX 75028 | 2018-05-29 |
| 1659898450 | Daniel De Armas | Optometrist | 5801 Long Prairie Rd Ste 360, Flower Mound, TX 75028 | 2017-08-23 |
| 1740727114 | Darya Ilushin | Chiropractor | 4305 Windsor Centre Trl Ste 100, Flower Mound, TX 75028 | 2017-01-24 |
| 1033661194 | Rsquared Healthcare Solutions & Consulting | Dentist | 2121 Lavender Lane, Flower Mound, TX 75028 | 2016-10-25 |
| 1912450578 | Jeannie Jin Wang | Dentist | 4421 Long Prairie Rd., #400, Flower Mound, TX 75028 | 2016-08-01 |
| 1700232121 | Carla Upperman-xu | Pediatrics | 2560 Central Park Ave, Suite 195, Flower Mound, TX 75028 | 2016-05-05 |
| 1487015731 | Bincy Philip | Nurse Practitioner | 500 Flower Mound Rd, Suite 102, Flower Mound, TX 75028 | 2016-03-15 |
| 1710369491 | Medical Massage Rx | Chiropractor | 2616 Long Prairie Rd., Suite 101, Flower Mound, TX 75028 | 2015-06-18 |
| 1821485673 | Audrey Morris | Nurse Practitioner | 4441 Long Prairie Road, Suite 400, Flower Mound, TX 75028 | 2015-04-20 |
| Find all providers in zip 75028 | ||||
| Taxonomy Code | 3336M0002X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Mail Order Pharmacy |
| A pharmacy where pharmacists compound or dispense prescriptions or other medications in accordance with federal and state law, using common carriers to deliver the medications to patient or their caregivers. Mail order pharmacies counsel patients and caregivers (sometimes independent of the dispensing process) through telephone or email contact and provide other professional services associated with pharmaceutical care appropriate to the setting. Mail order pharmacies are licensed as a Mail Order Pharmacy in the state where they are located and may also be licensed or registered as nonresident pharmacies in other states. |
| 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: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659972230 | Covetrus Pharmacy Services, LLC | Pharmacy | 14800 Faa Blvd Ste 150, Fort Worth, TX 76155-2252 | 2020-11-02 |
| 1821612441 | Genesis Apothecary Inc | Pharmacy | 101 Southwestern Blvd Ste 100, Sugar Land, TX 77478-3548 | 2020-05-29 |
| 1801419692 | Jolanto Corporation | Pharmacy | 10101 Southwest Fwy Ste 315, Houston, TX 77074-1111 | 2020-05-27 |
| 1407494917 | Recept Pharmacy, Lp | Pharmacy | 10412 Vista Del Sol Dr Ste 1a, El Paso, TX 79925-7937 | 2019-12-16 |
| 1396381935 | Recept Pharmacy, Lp | Pharmacy | 800 8th Ave Ste 130, Fort Worth, TX 76104-2606 | 2019-11-19 |
| 1265074207 | Health America LLC | Pharmacy | 541 W Main St Ste 140, Lewisville, TX 75057-3666 | 2019-10-10 |
| 1144871245 | Scriptco | Pharmacy | 6916 Woodway Dr, Woodway, TX 76712-6148 | 2019-09-20 |
| 1801365366 | Debons Business Management Inc D/b/a Joe Pil | Pharmacy | 6909 W Fm 2147, Horseshoe Bay, TX 78657-6434 | 2018-11-14 |
| 1821584764 | Randal Riverside Corporation | Pharmacy | 3360 Matlock Rd, Arlington, TX 76015-2907 | 2018-07-03 |
| 1215421227 | Randal Riverside Corporation | Pharmacy | 3360 Matlock Rd # 100, Arlington, TX 76015-2907 | 2018-06-22 |
| Find all providers with the same taxonomy | ||||
| City | FLOWER MOUND |
| Zip Code | 75028 |
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| 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.