Ross Avenue Pharmacy LLC.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

29202 Issued in TX

Legal business name

ROSS AVENUE PHARMACY LLC.

Doing business as

Family Pharmacy #3

Practice address

5101 Ross Ave
Suite # 100
Dallas, TX 75206-7762

Phone

(972) 833-7999

Fax

(972) 755-4192

NPI assigned

May 13, 2014

Organization subpart

No

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

Authorized official

Name

Tae Hoon Uhm

Title

Pharmacist in Charge

Phone

(972) 833-7999

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Family Pharmacy #3 Doing business as

Locations

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

{
    "created_epoch": "1399939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414627200000",
    "number": "1174934129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5101 ROSS AVENUE RD",
            "address_2": "SUITE # 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752067762",
            "telephone_number": "972-833-7999",
            "fax_number": "972-755-4192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5101 ROSS AVE",
            "address_2": "SUITE # 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752067762",
            "telephone_number": "972-833-7999",
            "fax_number": "972-755-4192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSS AVENUE PHARMACY LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-13",
        "last_updated": "2014-10-30",
        "status": "A",
        "authorized_official_last_name": "UHM",
        "authorized_official_first_name": "TAE HOON",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "972-833-7999"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "TX",
            "license": "29202",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "29202",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "TX",
            "license": "29202",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146981",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Pharmacy #3",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Medya Roshanrou, DDS
• Diane Dunkin Rosics
• Rosies Hope PLLC
• Gregory L Roslund, MD
• Zachary Paul Rosol, M.D.
• Ross Avenue Rehabilitation
• Ross Enterprises
• Katara Ross-Brewer, LMT
• Emily Ross-Istok, MS CCC-SLP
• Andrew Michael Ross

• 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 Oct 30, 2014; 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.