GUARDIAN PHARMACY OF TEXAS LLC NPI 1720509318

NPI Information

NPI: 1720509318
Provider Name: GUARDIAN PHARMACY OF TEXAS LLC

Other Name: GUARDIAN PHARMACY OF DALLAS-FORT WORTH

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
711 DIRECTORS DR
ARLINGTON, TX
ZIP 76011
Phone: (817) 633-6688
Get Directions

GUARDIAN PHARMACY OF TEXAS LLC is a long term care pharmacy pharmacy in Arlington, TX. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. GUARDIAN PHARMACY OF TEXAS LLC NPI is 1720509318. The provider is registered as an organization entity type.
The provider Other Name Is Guardian Pharmacy Of Dallas-fort Worth.

The provider's business location address is:

711 DIRECTORS DR
ARLINGTON, TX
ZIP 76011-103
Phone: (817) 633-6688
Fax: (817) 633-6678

The provider's authorized official is Tanner Corsini .
The authorized official title is President and has the following contact phone number (817) 633-6688.

The CLIA number assigned to this NPI record is 45D2237326 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/5/2017 and was last updated on 1/24/2022.

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
1	333600000X	Pharmacy				No
2	3336C0004X	Pharmacy	Compounding Pharmacy			No
3	3336L0003X	Pharmacy	Long Term Care Pharmacy	31479	TEXAS	Yes

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
1	2170924	OTHER		PK
2	351066	MEDICAID	TEXAS

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: 11/14/2023

NPI Synchronization or Removal

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