Provider Demographics
NPI:1235559865
Name:JD HEALTHCARE 2 LLC
Entity Type:Organization
Organization Name:JD HEALTHCARE 2 LLC
Other - Org Name:PARKWAY PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/MANAGING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:NILESH
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:806-201-2440
Mailing Address - Street 1:10113 CHICAGO AVE
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79424-8254
Mailing Address - Country:US
Mailing Address - Phone:813-244-9882
Mailing Address - Fax:855-710-8041
Practice Address - Street 1:1824 PARKWAY DR
Practice Address - Street 2:SET 100
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79403-4406
Practice Address - Country:US
Practice Address - Phone:806-675-2001
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-22
Last Update Date:2023-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX292123336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy