KLOCK & NAIL ENTERPRISE INC (NPI# 1912019829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912019829 |
| Entity Type | Organization |
| Organization Name | KLOCK & NAIL ENTERPRISE INC |
| Other Organization Name | SEMINARY DRIVE PHARMACY |
| Practice Address |
1309 E Seminary Dr Ft Worth TX 76115-2945 |
| Practice Telephone | 8179277846 |
| Practice Fax Number | 8179269486 |
| Mailing Telephone | 8179277846 |
| Mailing Fax Number | 8179269486 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2011-07-05 |
| Authorized Official Name | RICHARD KLOCK (PRES) |
| Authorized Official Telephone | 8179277846 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
10885 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 4520412 | 01 | |
| TX | 142673 | 05 |
| Other Name | Type Code |
|---|---|
| SEMINARY DRIVE PHARMACY | Doing Business As Name - Organization |
| Street Address |
1309 E SEMINARY DR |
| City | FT WORTH |
| State | TX |
| Zip Code | 76115-2945 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811400047 | Christine Vera Varela | Nurse Practitioner | Clinicas Mi Doctor, 4200 S Freeway Ste 106, Fort Worth, TX 76115 | 2017-11-09 |
| 1376081752 | Cheryl D. Mitchell | Nurse Practitioner | 11803 S. Freeway, Ste. 311, Fort Worth, TX 76115 | 2017-02-06 |
| 1508097858 | Misti Lynne Poulos | Massage Therapist | 4534 Stanley Ave, #361, Fort Worth, TX 76115 | 2009-08-04 |
| 1609015312 | Sirisha Bheemaneni | Internal Medicine | 11801 S Frwy, Fort Worth, TX 76115 | 2009-02-19 |
| 1639378292 | Jeffrey J. Raymond | Physician Assistant | 544 West Seminary Dr, Fort Worth, TX 76115 | 2007-07-13 |
| 1336367952 | Luis Sierra-nieves | Physician Assistant | 544 West Seminary Drive, Fort Worth, TX 76115 | 2007-04-20 |
| 1396861209 | Remedios R Cabansag | Obstetrics & Gynecology | 11803 So Freewax, Suite 254, Fort Worth, TX 76115 | 2007-03-22 |
| 1073602611 | Courage Rehab Clinic | Clinic/Center | 1670 North Hampton Road, Suite 110, Desoto, TX 76115 | 2006-10-12 |
| 1548369200 | Vijay Khanna | Podiatrist | 4759 B South Freeway, Ft Worth, TX 76115 | 2006-09-21 |
| 1225045164 | Allan M Wallace | Optometrist | 11803 South Frwy, Suite 114, Fort Worth, TX 76115 | 2006-08-02 |
| Find all providers in zip 76115 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| 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 |
|---|---|---|---|---|
| 1104904150 | Minyard Food Stores Inc. | Pharmacy | 102 Nw 28th St, Ft Worth, TX 76106-7115 | 2006-11-01 |
| 1063599801 | Minyard Food Stores Inc. | Pharmacy | 1212 N Beach St, Ft Worth, TX 76111-6027 | 2006-11-01 |
| 1326126293 | Minyard Food Stores Inc. | Pharmacy | 7809 Camp Bowie W, Ft Worth, TX 76116-6417 | 2006-11-01 |
| 1346328358 | Minyard Food Stores Inc. | Pharmacy | 3451 Altamesa Blvd, Ft Worth, TX 76133-5701 | 2006-11-01 |
| 1316024292 | Minyard Food Stores Inc. | Pharmacy | 3563 Alton Rd, Ft Worth, TX 76109-2834 | 2006-10-31 |
| 1740367614 | Minyard Food Stores Inc. | Pharmacy | 4245 E Berry St, Ft Worth, TX 76105-5002 | 2006-10-31 |
| 1548364359 | Cvs Pharmacy Inc | Pharmacy | 1201 N Beach St, Ft Worth, TX 76111-6043 | 2006-09-12 |
| 1679677462 | Cvs Pharmacy Inc | Pharmacy | 8520 Camp Bowie W, Ft Worth, TX 76116-6203 | 2006-09-12 |
| 1669576450 | Cvs Pharmacy Inc | Pharmacy | 3614 Camp Bowie Blvd, Ft Worth, TX 76107-3352 | 2006-09-12 |
| 1457455263 | Cvs Pharmacy Inc | Pharmacy | 4140 E Lancaster Ave, Ft Worth, TX 76103-3615 | 2006-09-12 |
| Find all providers in FT WORTH | ||||
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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.