Organization Active NPI

Dr Deanos Pharmacy

  • Personal Emergency Response Attendant
  • Dallas, TX
National Provider Identifier
1306962386
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Emergency Response AttendantTaxonomy code 146D00000X
License
19034 Issued in TX
Legal business name
DR DEANOS PHARMACY
Practice address
4432 Malcolm X Blvd
Dallas, TX 75215-4349
Phone
(214) 565-9898
Fax
(212) 565-9899
NPI assigned
Mar 22, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Wilfred Dean Anthony, RPH
Title
Pharmacist Owner
Phone
(214) 565-9898

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Emergency Response Attendant 146D00000X 19034 TX Primary

Addresses

Primary practice location

4432 Malcolm X Blvd
Dallas, TX 75215-4349

Mailing address

4432 Malcolm X Blvd
Dallas, TX 75215-4349
Phone (214) 565-9898

Other identifiers 1

IdentifierTypeStateIssuer
VP1447695MedicaidTX

National Provider Directory

National Provider Directory

Locations

4432 Malcolm X Blvd
Dallas, TX 75215
Phone (214) 403-3883

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306962386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4432 MALCOLM X BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752154349",
            "telephone_number": "214-565-9898",
            "fax_number": "212-565-9899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4432 MALCOLM X BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752154349",
            "telephone_number": "214-565-9898",
            "fax_number": "212-565-9899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR DEANOS PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANTHONY",
        "authorized_official_first_name": "WILFRED",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "PHARMACIST OWNER",
        "authorized_official_telephone_number": "214-565-9898",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "146D00000X",
            "taxonomy_group": "",
            "desc": "Personal Emergency Response Attendant",
            "state": "TX",
            "license": "19034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "VP1447695",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.