Pharmacy and Surgical Supplies Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

30350 Issued in TX

Legal business name

PHARMACY AND SURGICAL SUPPLIES INC

Doing business as

Pharmacy and Surgical Supplies Inc

Practice address

10300 Scyene Rd # 102
Dallas, TX 75227-4932

Phone

(469) 283-8878

Fax

(469) 375-5385

NPI assigned

Dec 3, 2015

Last updated

Jun 15, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mitesh Maradia

Title

Member

Phone

(972) 693-8079

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Pharmacy and Surgical Supplies Inc Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amit K Patel, PHARMACIST

  • Pharmacist
  • Harrison, NJ
  • NPI 1770794703
  NPD

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

{
    "created_epoch": "1449100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623715200000",
    "number": "1184099020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10300 SCYENE RD # 102",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752274932",
            "telephone_number": "469-283-8878",
            "fax_number": "469-375-5385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10300 SCYENE RD # 102",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752274932",
            "telephone_number": "469-283-8878",
            "fax_number": "469-375-5385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMACY AND SURGICAL SUPPLIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-03",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A",
        "authorized_official_last_name": "MARADIA",
        "authorized_official_first_name": "MITESH",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "972-693-8079"
    },
    "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": "30350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "14940501",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2155622",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pharmacy and Surgical Supplies Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robert D. Phan, MD
• Thao Thu Phan, RN
• Trinh Q Phan, OD
• Van-Anh Phan
• Pharmacia Henrique (Pharmacia Henrique Inc.)
• Pharmacy Compounding Specialties
• Pharmacy Preferred Physicians, LLC
• Pharmacy4Humanity (AHF Pharmacy)
• Pharmed L.P. (Family Care Pharmacy #3)
• Pharmed L.P. (Family Care Pharmacy)

• 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 Jun 15, 2021; 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.