Active NPI
Gilley'S Pharmacy, Inc
- Pharmacy
- Dallas, TX
National Provider Identifier
1033201702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 00174
- Legal business name
- GILLEY'S PHARMACY, INC
- Practice address
- 2600 W Jefferson
227
Dallas, TX 75211 - Phone
- (214) 946-5111
- Fax
- (214) 946-1113
- NPI assigned
- Sep 29, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. James Roy Gilley, RPH
- Title
- Pres
- Phone
- (214) 946-5111
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 00174 | TX | Primary |
Addresses
Primary practice location
2600 W Jefferson
227
Dallas, TX 75211
Mailing address
2600 W Jefferson
227
Dallas, TX 75211
Phone (214) 946-5111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110571 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
2600 W Jefferson Blvd
#227
Dallas, TX 75211
Phone (214) 946-5111
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159488000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1217548800000",
"number": "1033201702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2600 W JEFFERSON",
"address_2": "227",
"city": "DALLAS",
"state": "TX",
"postal_code": "75211",
"telephone_number": "214-946-5111",
"fax_number": "214-946-1113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 W JEFFERSON",
"address_2": "227",
"city": "DALLAS",
"state": "TX",
"postal_code": "75211",
"telephone_number": "214-946-5111",
"fax_number": "214-946-1113"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GILLEY'S PHARMACY, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-29",
"last_updated": "2008-08-01",
"status": "A",
"authorized_official_last_name": "GILLEY",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "ROY",
"authorized_official_title_or_position": "PRES",
"authorized_official_telephone_number": "214-946-5111",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "TX",
"license": "00174",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110571",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.