Organization Active NPI

A & C Discount Pharmacy LLC

Doing business as Medpharma Pharmacy

  • Community/Retail Pharmacy
  • Dallas, TX
National Provider Identifier
1396056313
Registry record updated Jul 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
26959 Issued in TX
Legal business name
A & C DISCOUNT PHARMACY LLC
Doing business as
Medpharma Pharmacy
Practice address
2600 N Stemmons Fwy
Ste 164
Dallas, TX 75207-2113
Phone
(469) 331-8290
Fax
(469) 331-8291
NPI assigned
Jun 24, 2010
Last updated
Jul 28, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2016

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

Authorized official

Name
Matt Eckel
Title
Cco
Phone
(469) 333-8660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 26959 TX Primary

Addresses

Primary practice location

2600 N Stemmons Fwy
Ste 164
Dallas, TX 75207-2113

Mailing address

2600 N Stemmons Fwy
Ste 164
Dallas, TX 75207-2113
Phone (469) 331-8290

Other identifiers 1

IdentifierTypeStateIssuer
2125463OtherPK

Other names 1

  • Medpharma Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
A C Discount Pharmacy LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

2600 N Stemmons Fwy
Ste 164
Dallas, TX 75207
Phone (469) 331-8290

NPI Registry JSON

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

{
    "created_epoch": "1277337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469664000000",
    "number": "1396056313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 N STEMMONS FWY",
            "address_2": "STE 164",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752072113",
            "telephone_number": "469-331-8290",
            "fax_number": "469-331-8291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 N STEMMONS FWY",
            "address_2": "STE 164",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752072113",
            "telephone_number": "469-331-8290",
            "fax_number": "469-331-8291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A & C DISCOUNT PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-24",
        "last_updated": "2016-07-28",
        "status": "A",
        "authorized_official_last_name": "ECKEL",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "CCO",
        "authorized_official_telephone_number": "469-333-8660"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "26959",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2125463",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medpharma 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 Jul 28, 2016; 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.