Organization Active NPI

At Home Pharmacy Grand Prairie LP

  • Community/Retail Pharmacy
  • Grand Prairie, TX
National Provider Identifier
1114963600
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
AT HOME PHARMACY GRAND PRAIRIE LP
Practice address
4927 Lake Ridge Pkwy Ste 180
Grand Prairie, TX 75052
Phone
(214) 239-9106
Fax
(214) 239-9107
NPI assigned
Jun 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Gary Hasty
Title
Owner Ceo
Phone
(214) 956-9770

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 24380 TX
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

4927 Lake Ridge Pkwy Ste 180
Grand Prairie, TX 75052

Mailing address

4927 Lake Ridge Pkwy Ste 180
Grand Prairie, TX 75052

Other identifiers 1

IdentifierTypeStateIssuer
4539485OtherOTHER ID NUMBER-COMMERCIAL NUMBER

National Provider Directory

National Provider Directory

Locations

4927 Lake Ridge Pkwy
Ste 180
Grand Prairie, TX 75052
Phone (214) 239-9106

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1114963600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4927 LAKE RIDGE PKWY STE 180",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "75052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4927 LAKE RIDGE PKWY STE 180",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "75052",
            "telephone_number": "214-239-9106",
            "fax_number": "214-239-9107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AT HOME PHARMACY GRAND PRAIRIE LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-21",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "HASTY",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "OWNER CEO",
        "authorized_official_telephone_number": "214-956-9770"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "TX",
            "license": "24380",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "4539485",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Prairie, 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.

Verify at the official NPI Registry.