Provider Demographics
NPI:1821140179
Name:U S PHARMACY INC
Entity Type:Organization
Organization Name:U S PHARMACY INC
Other - Org Name:U S PHARMACY INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RICK
Authorized Official - Middle Name:
Authorized Official - Last Name:NEWTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-478-9191
Mailing Address - Street 1:6619 FOREST HILL DR
Mailing Address - Street 2:STE 20
Mailing Address - City:FOREST HILL
Mailing Address - State:TX
Mailing Address - Zip Code:76140-1233
Mailing Address - Country:US
Mailing Address - Phone:817-478-9191
Mailing Address - Fax:817-572-0740
Practice Address - Street 1:6619 FOREST HILL DR
Practice Address - Street 2:STE 20
Practice Address - City:FOREST HILL
Practice Address - State:TX
Practice Address - Zip Code:76140-1233
Practice Address - Country:US
Practice Address - Phone:817-478-9191
Practice Address - Fax:817-572-0740
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-17
Last Update Date:2016-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
TX149873336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2097823OtherPK
TX143829Medicaid