Organization Active NPI

Healthfirst Pharmacy PLLC

  • Community/Retail Pharmacy
  • Desoto, TX
National Provider Identifier
1063786259
Registry record updated Jul 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
27989 Issued in TX
Legal business name
HEALTHFIRST PHARMACY PLLC
Practice address
424 E Pleasant Run Rd
Desoto, TX 75115-3936
Phone
(469) 297-5022
NPI assigned
Mar 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2022

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

Authorized official

Name
Mrs. Jerline Shunte Takyi, PHARM.D.NPI 1043591241
Title
Pharmacist-in-Charge
Phone
(469) 297-5022

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 27989 TX Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

424 E Pleasant Run Rd
Desoto, TX 75115-3936

Mailing address

424 E Pleasant Run Rd
Desoto, TX 75115-3936
Phone (469) 297-5022

Other identifiers 2

IdentifierTypeStateIssuer
2134475OtherPK
146601MedicaidTX

Other names 1

  • HealthFirst Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120807000519 TX Part B Supplier - Pharmacy 7517113509 Practice locations: Desoto, TX

National Provider Directory

National Provider Directory

Locations

424 E Pleasant Run Rd
Desoto, TX 75115
Phone (469) 297-5022

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1330992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658275200000",
    "number": "1063786259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 E PLEASANT RUN RD",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751153936",
            "telephone_number": "469-297-5022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 E PLEASANT RUN RD",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751153936",
            "telephone_number": "469-297-5022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHFIRST PHARMACY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-06",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A",
        "authorized_official_last_name": "TAKYI",
        "authorized_official_first_name": "JERLINE",
        "authorized_official_middle_name": "SHUNTE",
        "authorized_official_title_or_position": "PHARMACIST-IN-CHARGE",
        "authorized_official_telephone_number": "469-297-5022",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "27989",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2134475",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HealthFirst Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HealthFirst Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Desoto, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.