NPIMap

Organization Active NPI

Familia Care Inc.

Doing business as Mi Doctor Pharmacy

  • Community/Retail Pharmacy
  • Dallas, TX
National Provider Identifier
1346527983
Registry record updated Nov 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
27632 Issued in TX
Legal business name
FAMILIA CARE INC.
Doing business as
Mi Doctor Pharmacy
Practice address
655 W. Illinois Avenue, Building 900, Suite 916/918,
Dallas, TX 75224
Phone
(214) 845-4000
Fax
(214) 942-1857
NPI assigned
Nov 10, 2011
Last updated
Nov 10, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2011

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

Authorized official

Name
Robert Boatright
Title
Pic
Phone
(214) 840-0406

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 27632 TX Primary

Addresses

Primary practice location

655 W. Illinois Avenue, Building 900, Suite 916/918,
Dallas, TX 75224

Mailing address

300 E John Carpenter Fwy
Irving, TX 75062-2727
Phone (972) 957-3000

Other identifiers 1

IdentifierTypeStateIssuer
5904328OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • Mi Doctor Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Familia Care Inc11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

655 W Illinois Ave
Bldg 900
Dallas, TX 75224
Phone (214) 845-4000

300 E John Carpenter Fwy
Irving, TX 75062

NPI Registry JSON

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

{
    "created_epoch": "1320883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320883200000",
    "number": "1346527983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E JOHN CARPENTER FWY",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750622727",
            "telephone_number": "972-957-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 W. ILLINOIS AVENUE, BUILDING 900, SUITE 916/918,",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75224",
            "telephone_number": "214-845-4000",
            "fax_number": "214-942-1857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILIA CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-10",
        "last_updated": "2011-11-10",
        "status": "A",
        "authorized_official_last_name": "BOATRIGHT",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "214-840-0406"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "27632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5904328",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mi Doctor Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 10, 2011; 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.