PLEASANT GROVE PHARMACY NPI 1003903204

NPI Information

  • NPI: 1003903204
  • Provider Name: PLEASANT GROVE PHARMACY
  • Classification: Pharmacy - 3336C0003X
  • Specialization: Community/Retail Pharmacy
  • Entity Type: Organization
  • Doing Business As: PLEASANT GROVE PHARMACY
  • Address: 3302 RICHMOND RD
    TEXARKANA, TX
    ZIP 75503
  • Phone: (903) 832-4545

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NPI Details

PLEASANT GROVE PHARMACY is a community/retail pharmacy pharmacy in Texarkana, TX. The provider is 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. PLEASANT GROVE PHARMACY NPI is 1003903204. The provider is registered as an organization entity type.
The provider Is Doing Business As Pleasant Grove Pharmacy.

The provider's business location address is:

3302 RICHMOND RD
TEXARKANA, TX
ZIP 75503-703
Phone: (903) 832-4545
Fax: (903) 832-4546

The provider's authorized official is Marcia Peeples .
The authorized official title is Owner And Pharmacist and has the following contact phone number (903) 832-4545.

The enumeration date for this NPI number is 10/7/2006 and was last updated on 12/26/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail Pharmacy11056TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12102791OTHERPK
2142931MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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