Active NPI
Marjorie Mobley, RPH
- Pharmacist
- Dallas, TX
National Provider Identifier
1063572006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 33511
- Practice address
- 712 N Washington Ave
#414
Dallas, TX 75246-1619 - Phone
- (214) 828-9848
- NPI assigned
- Dec 11, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 33511 | TX | Primary |
Addresses
Primary practice location
712 N Washington Ave
#414
Dallas, TX 75246-1619
Mailing address
1322 Chickasaw Dr
Richardson, TX 75080-3721
Phone (972) 644-8746
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33511 | Other | TX | PHARMACIST LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33511 | TX | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1063572006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1322 CHICKASAW DR",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750803721",
"telephone_number": "972-644-8746"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "712 N WASHINGTON AVE",
"address_2": "#414",
"city": "DALLAS",
"state": "TX",
"postal_code": "752461619",
"telephone_number": "214-828-9848"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOBLEY",
"first_name": "MARJORIE",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "33511",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE",
"identifier": "33511",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.