Buckner Neighborhood Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

24990 Issued in TX

Legal business name

BUCKNER NEIGHBORHOOD PHARMACY INC

Practice address

3535 N Buckner Blvd Ste 106a
Dallas, TX 75228-5633

Phone

(972) 421-8228

NPI assigned

Jun 19, 2006

Organization subpart

No

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

Authorized official

Name

Samson BerheNPI 1770263378

Title

Pharmacist/Owner

Phone

(214) 321-3000

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• BUCKNER NEIGHBORHOOD PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in TX2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Samson Berhe, RPH

  • Pharmacist
  • Dallas, TX
  • NPI 1770263378
  NPD Authorized official

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762387200000",
    "number": "1124063342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 N BUCKNER BLVD STE 106A",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752285633",
            "telephone_number": "214-321-3000",
            "fax_number": "972-421-8228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 N BUCKNER BLVD STE 106A",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752285633",
            "telephone_number": "972-421-8228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCKNER NEIGHBORHOOD PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A",
        "authorized_official_last_name": "BERHE",
        "authorized_official_first_name": "SAMSON",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "214-321-3000"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "24990",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145667",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2099183",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BUCKNER NEIGHBORHOOD PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Buckner Market Place Dental, P.a.
• Buckner Retirement Services, Inc.
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• Buckner RSVG PLLC
• Buckner Rsvglc PLLC
• Buckner Senior Living, Inc.

• Community/Retail Pharmacy in Dallas, TX
• Providers in Dallas, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.