Diana Dvorak, RPH, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

40003 Issued in TX

Practice address

718 W Lampasas St
Ennis, TX 75119-4534

Phone

(972) 875-6798

Fax

(972) 875-2514

NPI assigned

Mar 29, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy, Registered Pharmacist

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hometown Drug Inc

  • Community/Retail Pharmacy
  • Ennis, TX
  • NPI 1295173441
  NPD
• Hometown Drug Inc

  • Long Term Care Pharmacy
  • Ennis, TX
  • NPI 1619495652
  NPD
• Walgreen Co

  • Pharmacy
  • Ennis, TX
  • NPI 1073528154
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1269820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643328000000",
    "number": "1386969772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 W ENNIS AVE",
            "city": "ENNIS",
            "state": "TX",
            "postal_code": "751193806",
            "telephone_number": "972-875-5996",
            "fax_number": "972-875-2969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 W LAMPASAS ST",
            "city": "ENNIS",
            "state": "TX",
            "postal_code": "751194534",
            "telephone_number": "972-875-6798",
            "fax_number": "972-875-2514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DVORAK",
        "first_name": "DIANA",
        "name_prefix": "Dr.",
        "credential": "RPH, PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-29",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051293275",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "40003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Elaine Donet, RN, FNP-BC
• Dr. Fredric Puckett, PLLC
• Emily Dubrick, DC
• Stephen C Durbin, DDS
• Vivian Renee Durham
• Eastland Memorial Hospital District
• Edc Dental Center PLLC
• Ellis County Coalition for Health Options
• Ellis County Medical Associates
• Ellis County Sleep Center, LLC

• All providers in Ennis, TX
• Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2022; 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.