PANCHO INDEPENDENT PHARMACY INC (NPI# 1760959860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760959860 |
| Entity Type | Organization |
| Organization Name | PANCHO INDEPENDENT PHARMACY INC |
| Practice Address |
790 Keller Pkwy Ste 1505 Keller TX 76248-2403 |
| Mailing Address |
1108 Wishing Tree Ln Keller TX 76248-5272 |
| Practice Telephone | 7132535115 |
| Practice Fax Number | 8173792677 |
| Mailing Telephone | 7132535115 |
| Enumeration Date | 2018-10-26 |
| Last Update Date | 2018-10-26 |
| Authorized Official Name | DR. FRANCIS NJIE (PRESIDENT) |
| Authorized Official Telephone | 7132535115 |
| Authorized Official Credential | PHAR-D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | Suppliers |
| Other Name | Type Code |
|---|---|
| CREEKWOOD PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447628607 | Pancho Independent Pharmacy Inc | Pharmacy | 608 E Bailey Boswell Rd Ste 140, Fort Worth, TX 76131-3570 | 2015-09-04 |
| Street Address |
790 KELLER PKWY STE 1505 |
| City | KELLER |
| State | TX |
| Zip Code | 76248-2403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316556145 | Tyler Woodall | Counselor | 1668 Keller Parkway, Suite 200, Keller, TX 76248 | 2020-07-28 |
| 1396366456 | Kelcie Dao | Speech-Language Pathologist | 630 B Stoneglen Drive, Keller, TX 76248 | 2020-04-29 |
| 1003447384 | Alliance Orthotics and Prosthetics, L.L.C. | Prosthetic/Orthotic Supplier | 101 Bourland Rd Suite A, Keller, TX 76248 | 2020-01-27 |
| 1033759832 | Everest Rehabilitation Hospital Keller, LLC | Rehabilitation Hospital | 955 S. Main St., Keller, TX 76248 | 2020-01-09 |
| 1750934253 | Pediatric Dentistry of Keller Pllc | Dentist | 1627 Keller Parkway, Suite 100, Keller, TX 76248 | 2019-07-23 |
| 1306345293 | Jaqui Otto | Psychologist | 1664 Keller Parkway Ste 102, Keller, TX 76248 | 2018-02-06 |
| 1194223404 | Hartman Samuel Ian Watson | Chiropractor | 1211 S Main St Ste 300h, Keller, TX 76248 | 2018-02-01 |
| 1760900997 | Md First Watch Healthcare Pllc | Clinic/Center | 310 Keller Parkway, Keller, TX 76248 | 2017-09-08 |
| 1588104541 | Elias Alharari | Nurse Practitioner | 651 S Main St Ste 102, Keller, TX 76248 | 2017-02-24 |
| 1730631698 | Alliance Counseling and Education Center | Social Worker | 1540 Keller Parkway, Ste. 108-205, Keller, TX 76248 | 2016-10-26 |
| Find all providers in zip 76248 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| 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 |
|---|---|---|---|---|
| 1558842633 | Appianrx, LLC | Non-Pharmacy Dispensing Site | 7700 Main Street, Ste. 435, Houston, TX 77030-4456 | 2018-08-27 |
| 1366939738 | Texas Health Presbyterian Hospital Dallas | Non-Pharmacy Dispensing Site | 8160 Walnut Hill Ln Ste 1, Dallas, TX 75231-4385 | 2018-04-20 |
| 1720409816 | Millennium Meds Management LLC | Non-Pharmacy Dispensing Site | 5208 Windjammer Rd, Plano, TX 75093-4023 | 2013-12-17 |
| 1134552508 | Cigna Onsite Health LLC | Non-Pharmacy Dispensing Site | 199 Planters Rd, Sunnyvale, TX 75182-9601 | 2013-08-20 |
| 1053744417 | Cigna Onsite Health LLC | Non-Pharmacy Dispensing Site | 7834 C F Hawn Fwy, Dallas, TX 75217-6529 | 2013-08-20 |
| 1184999674 | Mri Enterprises LLC | Non-Pharmacy Dispensing Site | 6500 Boeing Dr Ste T-3, El Paso, TX 79925-1167 | 2012-03-15 |
| 1912230699 | Jp Innovations, Inc. | Non-Pharmacy Dispensing Site | 1222 Babcock Rd, Suite 103, San Antonio, TX 78201-6601 | 2009-09-11 |
| 1649407834 | Texas Department of State Health Services | Non-Pharmacy Dispensing Site | 1100 West 49th Street, Austin, TX 78714-9347 | 2009-06-16 |
| 1265633119 | Optical Headquarters | Non-Pharmacy Dispensing Site | 1710 Fredericksburg Rd, San Antonio, TX 78201-5033 | 2007-05-29 |
| 1609927185 | Chad E Sullivan | Non-Pharmacy Dispensing Site | 4104 Yellowstone Dr, Pasadena, TX 77504-3427 | 2007-01-13 |
| Find all providers with the same taxonomy | ||||
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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.