NPIMap

Organization Active NPI

Dougherty's Pharmacy Inc.

Doing business as dba Dougherty's Home Care Pharmacy

  • Community/Retail Pharmacy
  • Dallas, TX
National Provider Identifier
1093817439
Registry record updated Oct 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
16496 Issued in TX
Legal business name
DOUGHERTY'S PHARMACY INC.
Doing business as
dba Dougherty's Home Care Pharmacy
Practice address
515 Preston Royal Village
Dallas, TX 75230
Phone
(214) 363-6558
Fax
(214) 363-6570
NPI assigned
Sep 5, 2006
Last updated
Oct 29, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2008

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

Authorized official

Name
Joe Buck Park, R.PH.NPI 1174626436
Title
President
Phone
(214) 363-6558

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 16496 TX Primary

Addresses

Primary practice location

515 Preston Royal Village
Dallas, TX 75230

Mailing address

515 Preston Royal Village
Dallas, TX 75230
Phone (214) 363-6558

Other names 1

  • dba Dougherty's Home Care Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dba Dougherty's Home Care Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225238400000",
    "number": "1093817439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 PRESTON ROYAL VILLAGE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75230",
            "telephone_number": "214-363-6558",
            "fax_number": "214-363-6570"
        },
        {
            "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": "214-363-6558",
            "fax_number": "214-363-6570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGHERTY'S PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-05",
        "last_updated": "2008-10-29",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "JOE",
        "authorized_official_middle_name": "BUCK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-363-6558",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "16496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "dba Dougherty's Home Care 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 Oct 29, 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.