Prometheus Services

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

26327 Issued in TX

Legal business name

PROMETHEUS SERVICES

Doing business as

Prometheus Services

Practice address

2636 Walnut Hill LN
Suite 335
Dallas, TX 75229-5639

Phone

(214) 357-3779

NPI assigned

Feb 2, 2009

Organization subpart

No

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

Authorized official

Name

Anthony Williams

Title

President

Phone

(817) 262-2421

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Prometheus Services Doing business as

Locations

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

{
    "created_epoch": "1233532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245715200000",
    "number": "1275771057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2636 WALNUT HILL LN",
            "address_2": "SUITE 335",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752295639",
            "telephone_number": "214-357-3779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2636 WALNUT HILL LN",
            "address_2": "SUITE 335",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752295639",
            "telephone_number": "214-357-3779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMETHEUS SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-02",
        "last_updated": "2009-06-23",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-262-2421"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "26327",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4551253",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prometheus Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• 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 23, 2009; 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.