MEDICARE: A-CLASS PHARMACY LLC

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	333600000X	Pharmacy
2	3336C0003X	Community/Retail Pharmacy	30064	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	2152923	OTHER		PK

General Provider Information

NPI Number	:	1619375961
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A-CLASS PHARMACY LLC

Provider Business Mailing Address
First Line	:	807 N CAGE BLVD STE B
Second Line	:
City	:	PHARR
State	:	TX
Zip	:	78577-3117
Country	:	US
Telephone Number	:	817-466-7420
Fax Number	:	817-382-5164

Provider Business Practice Location Address
First Line	:	1151 N BUCKNER BLVD STE 104
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75218-3485
Country	:	US
Telephone Number	:	817-466-7420
Fax Number	:	817-382-5174

Authorized Official
Title or Position	:	OWNER,AO
Name	:	RICHARD FERIM
Credential	:
Telephone Number	:	817-501-0453

Provider Enumeration Date	:	12/18/2014
Last Update Date	:	03/10/2026

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Directions to “A-CLASS PHARMACY LLC ” Practice Location

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