Active NPI
Dallas County Hospital District
Doing business as COPC Pharmacy Southeast Campus
- Clinic Pharmacy
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic Pharmacy
- License
- 15583
- Legal business name
- DALLAS COUNTY HOSPITAL DISTRICT
- Doing business as
- COPC Pharmacy Southeast Campus
- Practice address
- 9202 Elam Rd
Dallas, TX 75217-4151 - Phone
- (214) 266-1666
- Fax
- (214) 266-1654
- NPI assigned
- Mar 9, 2007
- Last updated
- Jan 28, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Edmundo Castaneda
- Title
- Exec VP & Chief Operating Officer
- Phone
- (214) 590-8006
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NU | ||
| Clinic Pharmacy | 3336C0002X | 15583 | TX | Primary |
| Community/Retail Pharmacy | 3336C0003X | NU |
Addresses
Primary practice location
9202 Elam Rd
Dallas, TX 75217-4151
Mailing address
5200 Harry Hines Blvd
Pharmacy Administration
Dallas, TX 75235-7709
Phone (214) 590-8714
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2101539 | Other | PK | |
| 251051 | Medicaid | TX | |
| 15583 | Other | TX | LICENSE |
Other names 2
- COPC Pharmacy Southeast Campus
- DALLAS COUNTY HOSPITAL DISTRICT
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930010665 | TX | DME Supplier - Pharmacy | 8325934813 |
1 other NPI on this enrollment Practice locations: Dallas, TX |
| O20221021000278 | TX | Part B Supplier - Mass Immunization (Roster Biller Only) | 8325934813 |
7 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Garland, TX; Dallas, TX |
Other NPIs on the same Medicare enrollment 8
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Garland Health Center Pharmacy
- Clinic Pharmacy
- Garland, TX
- NPI 1396876298
O20221021000278
-
dba Hatcher Station Health Center Pharmacy
- Clinic Pharmacy
- Dallas, TX
- NPI 1457478083
O20221021000278
-
dba Anderson Clinic Pharmacy
- Clinic Pharmacy
- Dallas, TX
- NPI 1639248727
O20221021000278
-
dba COPC Pharmacy Southeast Campus
- Pharmacy
- Dallas, TX
- NPI 1649264391
O20100930010665
-
dba De Haro Saldivar Health Center Pharmacy
- Clinic Pharmacy
- Dallas, TX
- NPI 1750412656
O20221021000278
-
dba Moody Outpatient Clinic Pharmacy
- Clinic Pharmacy
- Dallas, TX
- NPI 1801965991
O20221021000278
-
dba Bluitt Flowers Health Center
- Clinic Pharmacy
- Dallas, TX
- NPI 1932230836
O20221021000278
National Provider Directory
National Provider Directory- Tax ID family
- Dallas County Hospital Dist
Organizations with this tax ID in the same state 24
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- General Acute Care Hospital
- Dallas, TX
- NPI 1215178264
-
dba Internal Medicine
- Internal Medicine Physician
- Dallas, TX
- NPI 1033250170
-
dba Meadowbrook Care Center
- Skilled Nursing Facility
- Van Alstyne, TX
- NPI 1033316203
-
dba deHaro-Saldivar Women's Health Center
- Nurse Practitioner
- Dallas, TX
- NPI 1043468333
-
dba Prestonwood Rehabilitation and Nursing Center
- Skilled Nursing Facility
- Plano, TX
- NPI 1083836357
-
dba Pediatric Primary Care Center
- Pediatrics Physician
- Dallas, TX
- NPI 1093754475
-
dba Hatcher Station Women's Health Center
- Nurse Practitioner
- Dallas, TX
- NPI 1134377427
-
dba Maple Women's Health Center
- Nurse Practitioner
- Dallas, TX
- NPI 1144408253
-
dba Southeast Dallas Acute Response Clinic
- Internal Medicine Physician
- Dallas, TX
- NPI 1154780245
-
dba Sleep Center
- Sleep Disorder Diagnostic Clinic/Center
- Dallas, TX
- NPI 1164042784
-
dba Psychiatric Unit
- Psychiatric Hospital Unit
- Dallas, TX
- NPI 1174685705
-
dba E. Carlyle Smith, Jr. Health Center
- Internal Medicine Physician
- Grand Prairie, TX
- NPI 1194090001
Ownership & related parties
All facility ownership & control disclosures 41
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Parkland Health | Hospital | Operational/Managerial Control | Apr 22, 1966 |
| Parkland Health | Hospital | Operational/Managerial Control | Oct 1, 1983 |
| Parkland Health | Hospital | Operational/Managerial Control | Oct 1, 1983 |
| Town East Rehabilitation and Healthcare Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Mar 23, 2017 |
| The Plaza at Richardson | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (100%) | Feb 27, 2015 |
| Williamsburg Village Healthcare Campus | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Feb 27, 2015 |
| The Madison on Marsh | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Feb 15, 2015 |
| Villa at Mountain View | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Feb 15, 2015 |
| The Manor at Seagoville | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Feb 15, 2015 |
| Crestview Court | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Feb 15, 2015 |
| Prairie Estates | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Feb 15, 2015 |
| Windsor Gardens | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Feb 15, 2015 |
| Duncanville Healthcare and Rehabilitation Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Feb 21, 2015 Feb 21, 2015 |
| Brentwood Place Four | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Feb 20, 2015 |
| Meadowbrook Care Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2017 |
| Avir at River Valley | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jun 1, 2019 |
| The Terrace at Denison | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Apr 1, 2017 Apr 1, 2017 |
| Ridgeview Rehabilitation | Skilled nursing facility | Operational/Managerial Control (100%) | Mar 31, 2017 |
| Avir at Sherman | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Mar 31, 2017 |
| Avir at North Richland Hills | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Mar 31, 2017 |
| Canton Oaks | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2017 |
| Corinth Rehabilitation Suites on the Parkway | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2017 |
| Lakewest Rehabilitation and Skilled Care | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Mar 31, 2017 |
| Edgewood Rehabilitation and Care Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2017 |
| Prestonwood Rehabilitation & Nursing Center | Skilled nursing facility | Operational/Managerial Control | Apr 1, 2017 |
| Forest Park Nursing & Rehabilitation | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Nov 1, 2022 |
| The Hillcrest of North Dallas | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2017 |
| Sandy Lake Rehabilitation and Care Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2017 |
| Mira Vista Court | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2017 |
| Ridgecrest Healthcare and Rehabilitation Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Apr 1, 2017 Apr 1, 2017 |
| Denton Rehab | Skilled nursing facility | Operational/Managerial Control (100%) | Apr 1, 2017 |
| Beacon Hill | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2019 |
| Renaissance Care Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2019 |
| The Belmont at Twin Creeks | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2019 |
| San Remo | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2019 |
| The Carlyle at Stonebridge Park | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2019 |
| The Harrison at Heritage | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2019 |
| Carrara | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2020 |
| Palomino Place | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2020 |
| Las Brisas Rehabilitation and Wellness Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jun 1, 2025 |
| The Stewpot | Federally qualified health center | Operational/Managerial Control | Jan 1, 2022 |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173398400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1769558400000",
"number": "1194856096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5200 HARRY HINES BLVD",
"address_2": "PHARMACY ADMINISTRATION",
"city": "DALLAS",
"state": "TX",
"postal_code": "752357709",
"telephone_number": "214-590-8714",
"fax_number": "469-419-3023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9202 ELAM RD",
"city": "DALLAS",
"state": "TX",
"postal_code": "752174151",
"telephone_number": "214-266-1666",
"fax_number": "214-266-1654"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DALLAS COUNTY HOSPITAL DISTRICT",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-09",
"last_updated": "2026-01-28",
"certification_date": "2026-01-28",
"status": "A",
"authorized_official_last_name": "CASTANEDA",
"authorized_official_first_name": "EDMUNDO",
"authorized_official_title_or_position": "EXEC VP & CHIEF OPERATING OFFICER",
"authorized_official_telephone_number": "214-590-8006"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "3336C0002X",
"taxonomy_group": "",
"desc": "Pharmacy, Clinic Pharmacy",
"state": "TX",
"license": "15583",
"primary": true
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2101539",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "251051",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "15583",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "COPC Pharmacy Southeast Campus",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "COPC Pharmacy Southeast Campus",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "DALLAS COUNTY HOSPITAL DISTRICT",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Dallas, TX
- Dallas County Hospital District (Maple Women's Health Center)
- Dallas County Hospital District (Southeast Dallas Acute Response Clinic)
- Dallas County Hospital District (Sleep Center)
- Dallas County Hospital District (Psychiatric Unit)
- Dallas County Hospital District (Adult Comprehensive Care & Engagement Support Services - ACCESS Clinic)
- Dallas County Hospital District (Oak West Women's Health Center)
- Dallas County Hospital District (Wynnewood Acute Response Clinic)
- Dallas County Hospital District (Jubilee Park Community Clinic)
- Dallas County Hospital District (Bachman Acute Response Clinic)
- Dallas County Hospital District (Southeast Dallas Women's Health Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.