Active NPI
Doughertys Pharmacy Inc
- Long Term Care Pharmacy
- Dallas, TX
National Provider Identifier
1083637987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- DOUGHERTYS PHARMACY INC
- Practice address
- 515 Preston Royal Village
Dallas, TX 75230 - Phone
- (214) 363-4310
- Fax
- (214) 363-6570
- NPI assigned
- Jul 25, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David Bowe
- Title
- Cea
- Phone
- (972) 250-0945
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 16496 | TX | |
| Long Term Care Pharmacy | 3336L0003X | Primary |
Addresses
Primary practice location
515 Preston Royal Village
Dallas, TX 75230
Mailing address
PO Box 678050
Dallas, TX 75267-8050
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4594758 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| 320153 | Medicaid | TX |
Other names 1
- DOUGHERTYS HOME CARE PHCY
National Provider Directory
National Provider Directory- Tax ID family
- Dba Dougherty'S Home Care Pharmacy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Dallas, TX
- NPI 1093817439
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1083637987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 678050",
"city": "DALLAS",
"state": "TX",
"postal_code": "752678050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 PRESTON ROYAL VILLAGE",
"city": "DALLAS",
"state": "TX",
"postal_code": "75230",
"telephone_number": "214-363-4310",
"fax_number": "214-363-6570"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DOUGHERTYS PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-25",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "BOWE",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "CEA",
"authorized_official_telephone_number": "972-250-0945"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "TX",
"license": "16496",
"primary": false
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
"identifier": "4594758",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "320153",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "DOUGHERTYS HOME CARE PHCY",
"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 Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.