Organization · Type 2 NPI

Pharmacy Care USA of Addison, LLC

Long Term Care Pharmacy · Addison, TX

NPI number 1669805628 Active

Practice location

4275 Kellway Cir Ste 108
Addison, TX 75001-4254

Call (972) 388-1800 Map

Fax (877) 505-7999

Mailing address

PO Box 365
Hydro, OK 73048-0365

Specialties and licenses

Taxonomy	Code	License
Compounding Pharmacy	3336C0004X	None listed
Long Term Care Pharmacy Primary	3336L0003X	28672 (TX)
Long Term Care Pharmacy	3336L0003X	None listed

Long Term Care Pharmacy: A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

Another provider at this address

Scott Stewart, PharmDGeriatric Pharmacist Addison, TX NPI 1326720343

Other long term care pharmacy providers in Addison

See all in Addison →

NPI record

NPI: 1669805628
Entity type: Organization (Type 2)
Issued: Aug 14, 2013
Last updated: Oct 22, 2026
Status: Active

Other names

<unavail>
Pharmacy Care USA of Addison, LLC · doing business as
Pharmacy Care USA of Addison, LLC · doing business as

Authorized official

Doris Petek-Gomersall
SVP Corporate Compliance
(970) 250-2044

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1669805628

Pharmacy Care USA of Addison, LLC's National Provider Identifier is 1669805628, issued on Aug 14, 2013. The primary taxonomy on file is Long Term Care Pharmacy (3336L0003X), and the practice location is in Addison, TX. The record was last updated on Oct 22, 2026.