I.D. DOCTORS PHARMACY NPI 1245579143

NPI Information

  • NPI: 1245579143
  • Provider Name: I.D. DOCTORS PHARMACY
  • Classification: Pharmacy - 3336C0002X
  • Specialization: Clinic Pharmacy
  • Entity Type: Organization
  • Doing Business As: I.D. DOCTORS PHARMACY
  • Address: 2636 TIBBETS DR
    BEDFORD, TX
    ZIP 76022
  • Phone: (817) 858-0065

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NPI Details

I.D. DOCTORS PHARMACY is a clinic pharmacy pharmacy in Bedford, TX. The provider is a pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. I.D. DOCTORS PHARMACY NPI is 1245579143. The provider is registered as an organization entity type.
The provider Is Doing Business As I.d. Doctors Pharmacy.

The provider's business location address is:

2636 TIBBETS DR
BEDFORD, TX
ZIP 76022-919
Phone: (817) 858-0065

The provider's authorized official is Heewon Suh .
The authorized official title is Pharmacist and has the following contact phone number (972) 484-7700.

The enumeration date for this NPI number is 2/12/2013 and was last updated on 4/6/2022.

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
13336C0002XPharmacyClinic Pharmacy21765TEXASYes

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
1146907401MEDICAIDTEXAS
25908011OTHERNCPDP PROVIDER IDENTIFICATION NUMBER

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: 3/30/2025

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