Organization Active NPI

Medical City Pharmacy LLC

  • Community/Retail Pharmacy
  • Dallas, TX
National Provider Identifier
1073087375
Registry record updated Jul 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
MEDICAL CITY PHARMACY LLC
Practice address
3502 Simpson Stuart Rd Ste 300
Dallas, TX 75241-4420
Phone
(972) 943-1485
Fax
(972) 943-6284
NPI assigned
Jan 20, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2020

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

Authorized official

Name
Keith Donati
Title
Officer
Phone
(713) 823-7558

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

3502 Simpson Stuart Rd Ste 300
Dallas, TX 75241-4420

Mailing address

3502 Simpson Stuart Rd Ste 300
Dallas, TX 75241-4420
Phone (972) 943-1485

Other names 1

  • Medical Rx Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

3502 Simpson Stuart Rd
Ste 300
Dallas, TX 75241
Phone (972) 943-1485

2411 Coit Rd
Ste 120
Plano, TX 75075

NPI Registry JSON

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

{
    "created_epoch": "1547942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595980800000",
    "number": "1073087375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3502 SIMPSON STUART RD STE 300",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752414420",
            "telephone_number": "972-943-1485",
            "fax_number": "972-943-6284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3502 SIMPSON STUART RD STE 300",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752414420",
            "telephone_number": "972-943-1485",
            "fax_number": "972-943-6284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL CITY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-20",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A",
        "authorized_official_last_name": "DONATI",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "713-823-7558"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Rx Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Medical Rx Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 29, 2020; 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.