Active NPI
Pharmacy Compounding Specialties
- Compounding Pharmacy
- Dallas, TX
National Provider Identifier
1104944289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Compounding Pharmacy
- License
- 21510
- Legal business name
- PHARMACY COMPOUNDING SPECIALTIES
- Practice address
- 8061 Walnut Hill LN
Suite 924
Dallas, TX 75231-4331 - Phone
- (214) 327-8200
- Fax
- (214) 327-8777
- NPI assigned
- Mar 27, 2007
- 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
- James Porter, RPH
- Title
- Store Manager
- Phone
- (214) 327-8200
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | |||
| Compounding Pharmacy | 3336C0004X | 21510 | TX | Primary |
| Specialty Pharmacy | 3336S0011X |
Addresses
Primary practice location
8061 Walnut Hill LN
Suite 924
Dallas, TX 75231-4331
Mailing address
8061 Walnut Hill LN
Suite 924
Dallas, TX 75231-4331
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4522428 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| 4522428 | Other | OTHER ID NUMBER |
National Provider Directory
National Provider DirectoryLocations
8061 Walnut Hill Ln
Ste 924
Dallas, TX 75231
Phone (214) 327-8200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1189555200000",
"number": "1104944289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8061 WALNUT HILL LN",
"address_2": "SUITE 924",
"city": "DALLAS",
"state": "TX",
"postal_code": "752314331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8061 WALNUT HILL LN",
"address_2": "SUITE 924",
"city": "DALLAS",
"state": "TX",
"postal_code": "752314331",
"telephone_number": "214-327-8200",
"fax_number": "214-327-8777"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHARMACY COMPOUNDING SPECIALTIES",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-27",
"last_updated": "2007-09-12",
"status": "A",
"authorized_official_last_name": "PORTER",
"authorized_official_first_name": "JAMES",
"authorized_official_title_or_position": "STORE MANAGER",
"authorized_official_telephone_number": "214-327-8200",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": "TX",
"license": "21510",
"primary": true
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
"identifier": "4522428",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER",
"identifier": "4522428",
"state": null
}
],
"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 Sep 12, 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.