Organization Active NPI

Gilley'S Pharmacy, Inc

  • Pharmacy
  • Dallas, TX
National Provider Identifier
1033201702
Registry record updated Aug 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
00174 Issued in TX
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

Updated by the provider on Aug 1, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
110571MedicaidTX

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.