Overflow Plus LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

27042 Issued in TX

Legal business name

OVERFLOW PLUS LLC

Doing business as

Brookhaven Apothecary & Surgical Shop

Practice address

4373 S Hampton Rd Ste 1
Dallas, TX 75232-1058

Phone

(972) 620-2121

Fax

(972) 484-2603

NPI assigned

Nov 17, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ndufola Kigham

Title

Ceo

Phone

(972) 620-2121

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Brookhaven Apothecary & Surgical Shop Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403568000000",
    "number": "1013081546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4373 S HAMPTON RD",
            "address_2": "STE 1",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752321058",
            "telephone_number": "972-620-2121",
            "fax_number": "972-484-2603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4373 S HAMPTON RD STE 1",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752321058",
            "telephone_number": "972-620-2121",
            "fax_number": "972-484-2603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OVERFLOW PLUS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2014-06-24",
        "status": "A",
        "authorized_official_last_name": "KIGHAM",
        "authorized_official_first_name": "NDUFOLA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "972-620-2121"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "27042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2126432",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "140793",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brookhaven Apothecary & Surgical Shop",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah Overall, LMFT-A
• Ron Overberg, PHD, R.D.
• Loretta Overby, LPC
• Overcomers Counseling & Associates LLC
• Overflow at Your Services LLC
• Irene Overholts, LMSW
• Caroline Elizabeth Overman, APRN
• Tommy M Overman, ED.D
• Melissa E Overstreet Desaloms, LMSW
• Susan Lynn Overstreet, MD

• Community/Retail Pharmacy in Dallas, TX
• Providers in Dallas, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.