MEDICARE: ABILITY PHARMACY INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336H0001X	Home Infusion Therapy Pharmacy
2	3336C0003X	Community/Retail Pharmacy	25363	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4544210	OTHER		NCPDP PROVIDER IDENTIFICATION NUMBER

General Provider Information

NPI Number	:	1396802724
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABILITY PHARMACY INC

Provider Business Mailing Address
First Line	:	558 HEMPHILL ST
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76104-2252
Country	:	US
Telephone Number	:	817-882-1111
Fax Number	:	817-882-1118

Provider Business Practice Location Address
First Line	:	558 HEMPHILL ST
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76104-2252
Country	:	US
Telephone Number	:	817-882-1111
Fax Number	:	817-882-1118

Authorized Official
Title or Position	:	CEO/PRESIDENT/PIC
Name	:	ROBERT RITTER
Credential	:	RPH
Telephone Number	:	817-882-1111

Provider Enumeration Date	:	01/03/2007
Last Update Date	:	06/14/2012

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Directions to “ABILITY PHARMACY INC ” Practice Location

Language	Start Address	Practice Location

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