Organization Active NPI

Bluitts Pharmacy

  • Community/Retail Pharmacy
  • Dallas, TX
National Provider Identifier
1356479612
Registry record updated Feb 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
2467 Issued in TX
Legal business name
BLUITTS PHARMACY
Practice address
2809 Cedar Crest Blvd
Dallas, TX 75203-4009
Phone
(214) 941-1258
Fax
(214) 941-1932
NPI assigned
Mar 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2017

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

Authorized official

Name
Wilbert BluittNPI 1033275581
Title
Owner
Phone
(214) 941-1258

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 2467 TX Primary

Addresses

Primary practice location

2809 Cedar Crest Blvd
Dallas, TX 75203-4009

Mailing address

2809 Cedar Crest Blvd
Dallas, TX 75203-4009
Phone (214) 941-1258

Other identifiers 2

IdentifierTypeStateIssuer
2095228OtherPK
140685MedicaidTX

Other names 1

  • BLUITTS PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

2809 Cedar Crest Blvd
Dallas, TX 75203
Phone (214) 941-1258

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487116800000",
    "number": "1356479612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2809 CEDAR CREST BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752034009",
            "telephone_number": "214-941-1258",
            "fax_number": "214-941-1932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2809 CEDAR CREST BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752034009",
            "telephone_number": "214-941-1258",
            "fax_number": "214-941-1932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUITTS PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2017-02-15",
        "status": "A",
        "authorized_official_last_name": "BLUITT",
        "authorized_official_first_name": "WILBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-941-1258"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "2467",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2095228",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "140685",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BLUITTS 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 Feb 15, 2017; 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.