NPIMap

Organization Active NPI

Health Diversity LLC

  • Pharmacist
  • Cedar Hill, TX
National Provider Identifier
1013329184
Registry record updated May 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
43907 Issued in TX
Legal business name
HEALTH DIVERSITY LLC
Practice address
610 Uptown Blvd
Cedar Hill, TX 75104-3527
Phone
(469) 337-6402
NPI assigned
May 23, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2014

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

Authorized official

Name
Gwendolyn Green, PHARM D., RPH
Title
Owner
Phone
(972) 291-8864

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 183500000X 43907 TX Primary
Geriatric PharmacistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1835G0303X 43907 TX
Nutrition Support PharmacistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1835N1003X 43907 TX
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1835P0018X 43907 TX
Pharmacotherapy PharmacistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1835P1200X 43907 TX
Psychiatric PharmacistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1835P1300X 43907 TX

Addresses

Primary practice location

610 Uptown Blvd
Cedar Hill, TX 75104-3527

Mailing address

610 Uptown Blvd
Cedar Hill, TX 75104-3527
Phone (469) 337-6402

National Provider Directory

National Provider Directory

Locations

610 Uptown Blvd
Cedar Hill, TX 75104
Phone (469) 337-6402

NPI Registry JSON

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

{
    "created_epoch": "1400803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400803200000",
    "number": "1013329184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 UPTOWN BLVD",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751043527",
            "telephone_number": "469-337-6402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 UPTOWN BLVD",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751043527",
            "telephone_number": "469-337-6402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH DIVERSITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-23",
        "last_updated": "2014-05-23",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "GWENDOLYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-291-8864",
        "authorized_official_credential": "PHARM D., RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "43907",
            "primary": true
        },
        {
            "code": "1835G0303X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pharmacist, Geriatric",
            "state": "TX",
            "license": "43907",
            "primary": false
        },
        {
            "code": "1835N1003X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pharmacist, Nutrition Support",
            "state": "TX",
            "license": "43907",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "TX",
            "license": "43907",
            "primary": false
        },
        {
            "code": "1835P1200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "TX",
            "license": "43907",
            "primary": false
        },
        {
            "code": "1835P1300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pharmacist, Psychiatric",
            "state": "TX",
            "license": "43907",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Hill, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.