Organization Active NPI

Powerhouse Pharmacy RX LLC

  • Long Term Care Pharmacy
  • Dallas, TX
National Provider Identifier
1376344804
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
POWERHOUSE PHARMACY RX LLC
Practice address
4740 W Mockingbird LN Ste 100B
Dallas, TX 75209-5208
Phone
(214) 350-2900
NPI assigned
Mar 21, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2025

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

Authorized official

Name
Kumudben Shahiwala
Title
Officer
Phone
(214) 350-2900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

4740 W Mockingbird LN Ste 100B
Dallas, TX 75209-5208

Mailing address

4740 W Mockingbird LN Ste 100B
Dallas, TX 75209-5208
Phone (214) 350-2900

Other names 1

  • Powerhouse Pharmacy Doing business as

National Provider Directory

National Provider Directory

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": "1742515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742515200000",
    "number": "1376344804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4740 W MOCKINGBIRD LN STE 100B",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752095208",
            "telephone_number": "214-350-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4740 W MOCKINGBIRD LN STE 100B",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752095208",
            "telephone_number": "214-350-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POWERHOUSE PHARMACY RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-21",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-20",
        "status": "A",
        "authorized_official_last_name": "SHAHIWALA",
        "authorized_official_first_name": "KUMUDBEN",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "214-350-2900"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Powerhouse 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 Mar 21, 2025; 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.