Active NPI
Megan Crystal Phimmasone, PHARMD
- Pharmacist
- Grand Prairie, TX
National Provider Identifier
1245820588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 65896
- Practice address
- 507 S Carrier Pkwy
Grand Prairie, TX 75051-1511 - Phone
- (972) 237-2121
- NPI assigned
- Jan 20, 2021
- Last updated
- Jan 20, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 65896 | TX | Primary |
Addresses
Primary practice location
507 S Carrier Pkwy
Grand Prairie, TX 75051-1511
Mailing address
5225 Las Colinas Blvd Apt 4103
Irving, TX 75039-4695
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 65896 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611100800000",
"number": "1245820588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5225 LAS COLINAS BLVD APT 4103",
"city": "IRVING",
"state": "TX",
"postal_code": "750394695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "507 S CARRIER PKWY",
"city": "GRAND PRAIRIE",
"state": "TX",
"postal_code": "750511511",
"telephone_number": "972-237-2121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHIMMASONE",
"first_name": "MEGAN",
"middle_name": "CRYSTAL",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-20",
"last_updated": "2021-01-20",
"certification_date": "2021-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "65896",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Prairie, TX
- Pharmacy Corporation of America (OnePoint Patient Care Dallas)
- Pharmacy Corporation of America (Pharmerica)
- McKinley Philip Jr., P.A.
- Stanley Philip
- Kenya Kimesha Philips, R.N.
- April Lynn Pierce, CPM
- Pinnacle Point Clinic of Chiropractic
- Pioneer Family Doctor Association
- Varun Hiralal Pitti, BDS, MDS
- Corinthus Omari Pittman, OTD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.