Organization Active NPI

SLS Health Inc

  • Community/Retail Pharmacy
  • Lewisville, TX
National Provider Identifier
1396076253
Registry record updated Mar 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
26769 Issued in TX
Legal business name
SLS HEALTH INC
Practice address
1301 FM 407 Justin Rd Ste 212
Lewisville, TX 75077-2184
Phone
(972) 317-5599
Fax
(972) 317-5141
NPI assigned
Jan 15, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2017

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

Authorized official

Name
Mark Gilbert, BS
Title
Pic
Phone
(972) 317-5599

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 26769 TX Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

1301 FM 407 Justin Rd Ste 212
Lewisville, TX 75077-2184

Mailing address

1301 FM 407 Justin Rd Ste 212
Lewisville, TX 75077-2184
Phone (972) 317-5599

Other identifiers 2

IdentifierTypeStateIssuer
148478MedicaidTX
2124231OtherPK

Other names 1

  • Community Care Pharmacy Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1263513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490227200000",
    "number": "1396076253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 FM 407 JUSTIN RD STE 212",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750772184",
            "telephone_number": "972-317-5599",
            "fax_number": "972-317-5141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 FM 407 JUSTIN RD STE 212",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750772184",
            "telephone_number": "972-317-5599",
            "fax_number": "972-317-5141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLS HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-15",
        "last_updated": "2017-03-23",
        "status": "A",
        "authorized_official_last_name": "GILBERT",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "972-317-5599",
        "authorized_official_credential": "BS"
    },
    "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": "26769",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148478",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2124231",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Care Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lewisville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.