Active NPI
Children'S Health System of Texas
- Community/Retail Pharmacy
- Dallas, TX
National Provider Identifier
1124998562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- CHILDREN'S HEALTH SYSTEM OF TEXAS
- Practice address
- 1935 Medical District Dr
Dallas, TX 75235-7701 - Phone
- (214) 456-0641
- Fax
- (214) 456-0641
- NPI assigned
- Nov 10, 2025
- Organization subpart
- Yes
- Parent organization
- CHILDREN'S HEALTH SYSTEM OF TEXAS
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert S. Fries
- Title
- Chief Financial Officer
- Phone
- (214) 456-7000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
1935 Medical District Dr
Dallas, TX 75235-7701
Mailing address
1935 Medical District Dr
Dallas, TX 75235-7701
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20221029000028 | TX | Part B Supplier - Pharmacy | 5799844759 |
4 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Dallas, TX; Plano, TX |
Other NPIs on the same Medicare enrollment 4
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Community/Retail Pharmacy
- Plano, TX
- NPI 1457992117
O20221029000028
-
- Community/Retail Pharmacy
- Dallas, TX
- NPI 1588746002
O20221029000028
-
- Community/Retail Pharmacy
- Dallas, TX
- NPI 1881830602
O20221029000028
National Provider Directory
National Provider Directory- Tax ID family
- Psychological Services
- Part of
- Psychological Services
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Dental Clinic/Center
- Dallas, TX
- NPI 1356544803
-
- Children's Hospital
- Plano, TX
- NPI 1720480627
-
- Specialty Pharmacy
- Dallas, TX
- NPI 1871448720
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Dallas, TX
- NPI 1922428234
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1762732800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1772668800000",
"number": "1124998562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1935 MEDICAL DISTRICT DR",
"city": "DALLAS",
"state": "TX",
"postal_code": "752357701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1935 MEDICAL DISTRICT DR",
"city": "DALLAS",
"state": "TX",
"postal_code": "752357701",
"telephone_number": "214-456-0641",
"fax_number": "214-456-0641"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHILDREN'S HEALTH SYSTEM OF TEXAS",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CHILDREN'S HEALTH SYSTEM OF TEXAS",
"enumeration_date": "2025-11-10",
"last_updated": "2026-03-05",
"certification_date": "2026-03-05",
"status": "A",
"authorized_official_last_name": "FRIES",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "S.",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "214-456-7000"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
- Child and Family Guidance Center
- Laci Marie Childers, NP
- Lauren Jeanne Childers
- Children'S Dental at Preston Trail, PC
- Children'S Eye Specialists, PA
- Children'S Health System of Texas
- Children'S Health System of Texas
- Children'S Health System of Texas
- Children'S Health System of Texas
- Children'S Health System of Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.