Active NPI
Dr Deanos Pharmacy
- Personal Emergency Response Attendant
- Dallas, TX
National Provider Identifier
1306962386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Emergency Response Attendant
- License
- 19034
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| VP1447695 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
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": []
}
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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.