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PREMIUM FAMILY PHARMACY
NPI 1417253055
Pharmacy - Community/Retail Pharmacy in Denton, TX

Active since January 30, 2011
1776 TEASLEY LN STE 111, DENTON, TX 76205(940) 442-6767(940) 442-6563 Get Directions Write a Review

NPPES record last updated: April 17, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 17, 2024, Jul 19, 2018, Oct 24, 2016 (3 updates tracked since 2016).

About Premium Family Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PREMIUM FAMILY PHARMACY (NPI 1417253055) is a healthcare organization registered as a community/retail pharmacy in Denton, Texas and active in the NPI registry since January 2011. The organization lists Riddham Tibadiya, Owner, as its authorized official.

NPPES Registry Identity

NPI1417253055
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NamePREMIUM FAMILY PHARMACY
Location Address1776 TEASLEY LN STE 111Denton, TX 76205-7710
Mailing Address1776 Teasley Ln Ste 111Denton, TX 76205-7710 · (940) 442-6767 · Fax (940) 442-6563
Phone(940) 442-6767
Fax(940) 442-6563
Organization SubpartNo
Authorized OfficialRiddham TibadiyaOwner · (912) 271-1796
Enumeration DateJanuary 30, 2011
Last NPPES UpdateApril 17, 20243 updates tracked since enumeration
NPPES CertifiedApril 17, 2024
✔ NPI 1417253055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in TX · 27457
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Also ListedPharmacyTaxonomy 333600000X
1776 TEASLEY LN STE 111, Denton, TX 76205
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Other Names 1

Doing Business AsPremium Family Pharmacy

Other Identifiers 1

Other2128958Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arkansas Health & Wellness and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2269627

Premium Family Pharmacy · Denton, TX
Expired · Sep 28, 2026
CLIA Number45D2269627
Laboratory TypePharmacy
Certificate Effective DateSeptember 29, 2024
Certificate Expiration DateSeptember 28, 2026
Laboratory DirectorPatience Tantoh
Laboratory Phone(940) 442-6767
Laboratory LocationPremium Family Pharmacy1776 Teasley Ln Suite 111, Denton, TX 76205
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KHAI NGUYEN PHARMD
Pharmacist
1776 TEASLEY LN STE 111
DENTON, TX 76205
Denton County (940) 442-6767
PATIENCE A TANTOH
Pharmacist
1776 TEASLEY LN STE 111
DENTON, TX 76205
Denton County (940) 442-6767

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Premium Family Pharmacy's NPI number?

The NPI number for Premium Family Pharmacy is 1417253055. It was assigned to this organization in the NPPES registry on January 30, 2011.

Where is Premium Family Pharmacy located?

Premium Family Pharmacy is located at 1776 Teasley Ln Ste 111, Denton, TX 76205. The listed phone number is (940) 442-6767.

What is Premium Family Pharmacy's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

What insurance does Premium Family Pharmacy accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arkansas Health & Wellness and 51 other insurers list Premium Family Pharmacy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Premium Family Pharmacy was last updated on April 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.