Premium Family Pharmacy
NPI 1417253055 · Community/Retail Pharmacy · Denton, TX
Enrolled with Medicare as Part B Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Premium Family Pharmacy is a Community/Retail Pharmacy organization in Denton, TX (NPI 1417253055).
Provider details
- NPI number
- 1417253055
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Riddham Tibadiya, Owner(912) 271-1796
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Premium Family Pharmacy
Registry dates
- Enumerated
- 2011-01-30
- Last updated
- 2024-04-17
- Certified
- 2024-04-17
Frequently asked questions
- What is Premium Family Pharmacy's NPI number?
- Premium Family Pharmacy's National Provider Identifier (NPI) is 1417253055, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Premium Family Pharmacy?
- Premium Family Pharmacy is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Premium Family Pharmacy located?
- Premium Family Pharmacy's practice location on file with NPPES is 1776 Teasley Ln Ste 111, Denton, TX 76205-7710.
- What is Premium Family Pharmacy's phone number?
- The practice phone number listed in the NPPES registry for Premium Family Pharmacy is (940) 442-6767.
- Does Premium Family Pharmacy accept Medicare?
- Premium Family Pharmacy is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Premium Family Pharmacy?
- The authorized official listed on Premium Family Pharmacy's NPPES record is Riddham Tibadiya, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Premium Family Pharmacy's NPI active?
- Yes — Premium Family Pharmacy's NPI (1417253055) is active in the NPPES registry as of the last update on 2024-04-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.