Organization Active NPI

Italy Family Pharmacy Inc

  • Community/Retail Pharmacy
  • Duncanville, TX
National Provider Identifier
1144586207
Registry record updated Jan 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
27819 Issued in TX
Legal business name
ITALY FAMILY PHARMACY INC
Practice address
102 E Danieldale Road
Suite 100
Duncanville, TX 75137
Phone
(469) 513-2499
Fax
(469) 513-2541
NPI assigned
Apr 3, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2024

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

Authorized official

Name
Roland AkoNPI 1679170914
Title
President
Phone
(713) 516-6732

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 27819 TX Primary

Addresses

Primary practice location

102 E Danieldale Road
Suite 100
Duncanville, TX 75137

Mailing address

1000 Sunrise CT
Cedar Hill, TX 75104-8250
Phone (713) 516-6732

Other identifiers 3

IdentifierTypeStateIssuer
146648MedicaidTX
2134493OtherPK
148207MedicaidTX

Other names 1

  • PHARMACIA SANA Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20210617000863 TX Part B Supplier - Pharmacy 5395145072 Practice locations: Irving, TX
O20211115002946 TX DME Supplier - PharmacyDME Supplier - Medical Supply Company 5395145072 Practice locations: Duncanville, TX

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2204576Italy Family Pharmacy, Inc102 E Danieldale Rd Suite 100, Duncanville, TX 75137Certificate of waiverDec 8, 2026

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Italy Family Pharmacy Inc102 E Danieldale Rd, Duncanville, TX 75137-4027(469) 513-2499 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual)|Insulin Infusion Pumps and/or Supplies|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Tr… Accepts assignmentParticipating since Feb 1, 2021

National Provider Directory

National Provider Directory

Locations

102 E Danieldale Rd
Ste 100
Duncanville, TX 75137
Phone (469) 513-2499

1111 W Airport Fwy
Ste 151
Irving, TX 75062
Phone (469) 647-5296

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1333411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705017600000",
    "number": "1144586207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 SUNRISE CT",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751048250",
            "telephone_number": "713-516-6732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 E DANIELDALE ROAD",
            "address_2": "SUITE 100",
            "city": "DUNCANVILLE",
            "state": "TX",
            "postal_code": "75137",
            "telephone_number": "469-513-2499",
            "fax_number": "469-513-2541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ITALY FAMILY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-03",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-11",
        "status": "A",
        "authorized_official_last_name": "AKO",
        "authorized_official_first_name": "ROLAND",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-516-6732"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "27819",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146648",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2134493",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148207",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PHARMACIA SANA",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PHARMACIA SANA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Duncanville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; 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.