PANCHO INDEPENDENT PHARMACY, INC (NPI# 1043534795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043534795 |
| Entity Type | Organization |
| Organization Name | PANCHO INDEPENDENT PHARMACY, INC |
| Other Organization Name | ROSEDALE PHARMACY |
| Practice Address |
900 W Rosedale St Ste B Fort Worth TX 76104-4537 |
| Practice Telephone | 8178701900 |
| Practice Fax Number | 8178701908 |
| Mailing Telephone | 8178701900 |
| Mailing Fax Number | 8178701908 |
| Enumeration Date | 2010-03-24 |
| Last Update Date | 2015-08-04 |
| Authorized Official Name | DR. FRANCIS ETENGANI NJIE (MANAGER/PHARMACIST) |
| Authorized Official Telephone | 7132535115 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | Y |
| Parent Organization Name | PANCHO INDEPENDENT PHARMACY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
26859 | TX | Suppliers |
| Other Name | Type Code |
|---|---|
| Rosedale pharmacy | Doing Business As Name - Organization |
| Street Address |
900 W ROSEDALE ST STE B |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76104-4537 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265457071 | S M Reza Khalafi | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 900 W Rosedale St, Fort Worth, TX 76104-4681 | 2006-07-13 |
| 1275004236 | S.r. Khalafi, M.d., P.a. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 900 W Rosedale St, Fort Worth, TX 76104-4681 | 2018-12-16 |
| 1447721402 | Cardiothoracic and Vascular Consults Pllc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 900 W Rosedale St, Fort Worth, TX 76104-4681 | 2018-12-16 |
| 1093871303 | Texas Health Care, P.l.l.c. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 900 W Rosedale St, Fort Worth, TX 76104-4537 | 2006-12-29 |
| 1245240290 | James E Anderson Jr. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 900 W Rosedale St, Fort Worth, TX 76104-4537 | 2006-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669082186 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 1115 8th St, Fort Worth, TX 76104 | 2020-08-10 |
| 1992343693 | Iris Giove | Psychologist | John Peter Smith Hospital, 1500 S. Main St., Fort Worth, TX 76104 | 2019-12-13 |
| 1104480656 | Swarnalaxmi Umapathy | Student in an Organized Health Care Education/Training Program | 900 8th Avenue, Fort Worth, TX 76104 | 2019-04-30 |
| 1881189132 | Mega Surgical Assistants LLC | Specialist/Technologist, Other | 1301pennsylvania, Fort Worth, TX 76104 | 2018-06-28 |
| 1356848899 | Tricia Kelly | Nurse Practitioner | 1325 Pennsylvania Avenue Suite 560, Fort Worth, TX 76104 | 2018-04-11 |
| 1952820979 | Modern Vein Clinic | Internal Medicine | 757 8th Avenue, Suite A, Forth Worth, TX 76104 | 2017-09-11 |
| 1790207165 | Vanessa Abbood | Dietitian, Registered | 900 Eighth Ave, Fns Department, Fort Worth, TX 76104 | 2017-07-07 |
| 1922537562 | Nicole Marie Tod | Student in an Organized Health Care Education/Training Program | 1500 S Main Street, Fort Worth, TX 76104 | 2017-06-07 |
| 1770025934 | Micah Bonola | Chiropractor | 1300 W. Rosedale St, Ste. A, Fort Worth, TX 76104 | 2016-11-04 |
| 1518315894 | United Bioscience, LLC. | Clinical Medical Laboratory | 901 W. Leuda St., B, Fort Worth, TX 76104 | 2016-05-27 |
| Find all providers in zip 76104 | ||||
| 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 |
|---|---|---|---|---|
| 1871124214 | Better Health Pharmacy, LLC | Pharmacy | 8615 S Hulen St Ste 115, Fort Worth, TX 76123-2762 | 2020-02-03 |
| 1669027660 | Eklingji Healthcare LLC | Pharmacy | 6249 Granbury Rd, Fort Worth, TX 76133-3401 | 2019-08-06 |
| 1790343465 | Be Well Pharmacy LLC | Pharmacy | 8008 Camp Bowie West Blvd Ste 109, Fort Worth, TX 76116-6300 | 2019-05-29 |
| 1598323263 | My Choice Pharmacy | Pharmacy | 8008 Camp Bowie West Blvd Ste 111, Fort Worth, TX 76116-6300 | 2019-05-29 |
| 1710451034 | Brahmani Health Corp | Pharmacy | 2215 W Berry St, Fort Worth, TX 76110-2804 | 2019-01-20 |
| 1619448248 | Nulife Pharmacy, Inc | Pharmacy | 14150 Trinity Blvd Ste 750, Fort Worth, TX 76155-2597 | 2018-12-07 |
| 1275001786 | Vijyalaxmi Enterprise Inc | Pharmacy | 5750 W Vickery Blvd Ste 110, Fort Worth, TX 76107-7448 | 2018-11-02 |
| 1588140131 | Alliance Pharmacy LLC | Pharmacy | 9601 N Beach St Ste 105, Fort Worth, TX 76244-6432 | 2018-07-17 |
| 1740784206 | Cvs Pharmacy Inc | Pharmacy | 515 Houston St, Fort Worth, TX 76102 | 2018-03-20 |
| 1518466713 | Hk Complete Health Inc | Pharmacy | 1900 W Everman Pkwy Ste 120, Fort Worth, TX 76134-4326 | 2018-02-03 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76104 |
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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.