Organization Active NPI

Decatur Health Services, LLC

  • Pharmacy
  • Decatur, TX
National Provider Identifier
1255112074
Registry record updated Oct 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
DECATUR HEALTH SERVICES, LLC
Practice address
609 Medical Center Dr Ste 1100
Decatur, TX 76234-3840
Phone
(940) 626-2555
NPI assigned
Oct 9, 2023
Last updated
Oct 9, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
DECATUR HEALTH SERVICES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 9, 2023

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

Authorized official

Name
Kristin Dyer
Title
Division Cfo
Phone
(972) 401-8770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU Primary

Addresses

Primary practice location

609 Medical Center Dr Ste 1100
Decatur, TX 76234-3840

Mailing address

609 Medical Center Dr Ste 1100
Decatur, TX 76234-3840
Phone (940) 626-2555

National Provider Directory

National Provider Directory
Part of
Decatur Health Services LLC

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1696809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696809600000",
    "number": "1255112074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 MEDICAL CENTER DR STE 1100",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762343840",
            "telephone_number": "940-626-2555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 MEDICAL CENTER DR STE 1100",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762343840",
            "telephone_number": "940-626-2555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DECATUR HEALTH SERVICES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DECATUR HEALTH SERVICES, LLC",
        "enumeration_date": "2023-10-09",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-09",
        "status": "A",
        "authorized_official_last_name": "DYER",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_title_or_position": "DIVISION CFO",
        "authorized_official_telephone_number": "972-401-8770"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2023; 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.