Telesis-Walnut Place Nursing Home I LTD

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

11588 Issued in TX

Legal business name

TELESIS-WALNUT PLACE NURSING HOME I LTD

Practice address

5515 Glen Lakes Dr
Dallas, TX 75231-4309

Phone

(214) 361-8923

Fax

(214) 361-4281

NPI assigned

Sep 13, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Rolin Samuel Green Jr.

Title

Pharmacist and Manager

Phone

(214) 361-8923

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Walnut Place Pharmacy Doing business as

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223424000000",
    "number": "1043315229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5515 GLEN LAKES DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314309",
            "telephone_number": "214-361-8923",
            "fax_number": "214-361-4281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5515 GLEN LAKES DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314309",
            "telephone_number": "214-361-8923",
            "fax_number": "214-361-4281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TELESIS-WALNUT PLACE NURSING HOME I LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2008-10-08",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "ROLIN",
        "authorized_official_middle_name": "SAMUEL",
        "authorized_official_title_or_position": "PHARMACIST AND MANAGER",
        "authorized_official_telephone_number": "214-361-8923",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "TX",
            "license": "11588",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "4571938",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Walnut Place Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Telenp Health PLLC
• Telerad of NC Account Management, LLC
• Telesis- Walnut Place Nursing Home I LTD.
• Telesis-Autumn Leaves I, LTD
• Telesis-Traymore Nursing Home I, LTD.
• Telesis/Signature Place I, LTD.
• Telesis/Traymore
• Clara Leigh Telford
• Kristin Telford
• Armando Tellez Vazquez

• Long Term Care Pharmacy in Dallas, TX
• Providers in Dallas, TX by specialty
• Long Term Care Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.