NPI Code Detail JSON Logo

1659780302 NPI number — AYDIL RX SERVICES, LLC

NPI Number: 1659780302
Health Care Provider/Practitioner: AYDIL RX SERVICES, LLC

Information about “1659780302” NPI (AYDIL RX SERVICES, LLC) exists in 1659780302 in HTML format HTML  |  1659780302 in plain Text format TXT  |  1659780302 in PDF (Portable Document Format) PDF  |  1659780302 in an XML format XML  formats.

NPI Number : 1659780302 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1659780302",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "AYDIL RX SERVICES, LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1440 GARDENIA ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "IRVING",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "75063-4232",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "972-839-0724",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3001 JOE RAMSEY BLVD E",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "GREENVILLE",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "75401-7714",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "903-455-7200",
    "PracticeLocationAddressFaxNumber": "903-455-7300",
    "EnumerationDate": "08/07/2014",
    "LastUpdateDate": "01/10/2021",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "BHAKTA",
    "AuthorizedOfficialFirstName": "VIMAL",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "MANAGING MEMBER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "RPH",
    "AuthorizedOfficialTelephoneNumber": "972-839-0724",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "3336C0004X",
          "TaxonomyName": "Compounding Pharmacy",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "3336L0003X",
          "TaxonomyName": "Long Term Care Pharmacy",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "3336S0011X",
          "TaxonomyName": "Specialty Pharmacy",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "3336C0003X",
          "TaxonomyName": "Community/Retail Pharmacy",
          "LicenseNumber": "29403",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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