Medi Stat RX LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

23238 Issued in TX

Legal business name

MEDI STAT RX LLC

Practice address

500 W Jefferson Blvd
Ste a
Dallas, TX 75208-4722

Phone

(214) 946-3822

Fax

(214) 946-8300

NPI assigned

Jun 22, 2006

Organization subpart

No

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

Authorized official

Name

Janak Patel

Title

President

Phone

(972) 247-9101

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• MEDI STAT RX Doing business as

Locations

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276646400000",
    "number": "1033155494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W JEFFERSON BLVD",
            "address_2": "STE A",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752084722",
            "telephone_number": "214-946-3822",
            "fax_number": "214-946-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W JEFFERSON BLVD",
            "address_2": "STE A",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752084722",
            "telephone_number": "214-946-3822",
            "fax_number": "214-946-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDI STAT RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2010-06-16",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "JANAK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-247-9101"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "23238",
            "primary": true
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145477",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4535588",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDI STAT RX",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Medhealth
• Medhealth
• Medhealth
• Medhealth
• Medhelp Health Management LLC
• Medi Sure DME LLC
• Medi-Direct Healthcare Solutions LLC
• Medi-Wheels Diagnostics, LLC
• Medi-Wheels, LLC
• Medica Premier Healthcare, PLLC

• 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 16, 2010; 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.