Society of St. Vincent de Paul Charitable Pharmacy of North Texas, Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

31881 Issued in TX

Legal business name

SOCIETY OF ST. VINCENT DE PAUL CHARITABLE PHARMACY OF NORTH TEXAS, INC

Doing business as

St. Vincent de Paul Pharmacy

Practice address

5750 Pineland Dr
Dallas, TX 75231-5300

Phone

(469) 232-9902

Fax

(469) 533-0350

NPI assigned

Mar 2, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Clarence Henry Hermann

Title

Pharmacy Managing Director

Phone

(214) 868-8944

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• St. Vincent de Paul Pharmacy Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1519948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1295237543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4310 GLENWICK LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752051035",
            "telephone_number": "214-868-8944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5750 PINELAND DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752315300",
            "telephone_number": "469-232-9902",
            "fax_number": "469-533-0350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOCIETY OF ST. VINCENT DE PAUL CHARITABLE PHARMACY OF NORTH TEXAS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-02",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "HERMANN",
        "authorized_official_first_name": "CLARENCE",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "PHARMACY MANAGING DIRECTOR",
        "authorized_official_telephone_number": "214-868-8944",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "31881",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS STATE BOARD OF PHARMACY",
            "identifier": "31881",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Vincent de Paul Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "St. Vincent de Paul Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tara Lee Box Sobey, MS, CCC-SLP
• Rebecca Lammers Sobol, CPNP
• Social Care Service LLC (Social Care Services, LLC)
• Social Communication Connection
• Social Service Offices of Anita Onugha
• Mark Sodders, L.AC.
• Oluwatosin O Sode Adelowo, CRNA
• Titilola Sode
• Preeti Sodhi, M.D.
• Henry Wayne Soechting, M.D.

• 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 Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.