Parkside Oasis Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

25846 Issued in TX

Legal business name

PARKSIDE OASIS INC

Doing business as

RAINBOW PHARMACY

Practice address

3750 S University Dr
Suite 100
Fort Worth, TX 76109-3720

Phone

(817) 546-3513

Fax

(817) 546-3516

NPI assigned

Jan 3, 2008

Organization subpart

No

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

Authorized official

Name

Michael Salako

Title

Owner

Phone

(817) 874-1733

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• RAINBOW PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1199318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201564800000",
    "number": "1184809592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6306 PARKSIDE DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760018432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3750 S UNIVERSITY DR",
            "address_2": "SUITE 100",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761093720",
            "telephone_number": "817-546-3513",
            "fax_number": "817-546-3516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKSIDE OASIS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-03",
        "last_updated": "2008-01-29",
        "status": "A",
        "authorized_official_last_name": "SALAKO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-874-1733"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "25846",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "4546947",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RAINBOW PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Richard W Parks, CST
• Susan W Parks, S.L.P.
• Tiara Parks
• Viada Parks
• Wesley Parks
• Parkway Dental Professionals
• Christopher Parlee, M.D.
• Sonia Parmar, MD
• David Edward Parmer, D.D.S., M.D.
• Heather Katrina Parmer, PA-C

• Community/Retail Pharmacy in Fort Worth, TX
• Providers in Fort Worth, 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 Jan 29, 2008; 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.