NPIMap

Organization Active NPI

Dallas County Mental Health & Mental Retardation Center

  • Clinic Pharmacy
  • Dallas, TX
National Provider Identifier
1407243306
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
License
29932 Issued in TX
Legal business name
DALLAS COUNTY MENTAL HEALTH & MENTAL RETARDATION CENTER
Practice address
9708 Skillman St
Dallas, TX 75243-5150
Phone
(469) 899-3200
Fax
(972) 426-8304
NPI assigned
Apr 20, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2025

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

Authorized official

Name
Min Seo Cheon Kim
Title
Chief Pharmacy Officer
Phone
(214) 743-6180

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Clinic Pharmacy 3336C0002X 29932 TX Primary
Mail Order Pharmacy 3336M0002X

Addresses

Primary practice location

9708 Skillman St
Dallas, TX 75243-5150

Mailing address

3242 Remond Dr
Dallas, TX 75211
Phone (214) 743-6180

Other identifiers 1

IdentifierTypeStateIssuer
2151414OtherPK

Other names 1

  • Metrocare Pharmacy at Lifenet Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dallas County MHMR32 organizations share this tax ID, including this one

Other organizations with this tax ID 31

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

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1429488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764633600000",
    "number": "1407243306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3242 REMOND DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75211",
            "telephone_number": "214-743-6180",
            "fax_number": "469-200-1956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9708 SKILLMAN ST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752435150",
            "telephone_number": "469-899-3200",
            "fax_number": "972-426-8304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALLAS COUNTY MENTAL HEALTH & MENTAL RETARDATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-20",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A",
        "authorized_official_last_name": "CHEON KIM",
        "authorized_official_first_name": "MIN SEO",
        "authorized_official_title_or_position": "CHIEF PHARMACY OFFICER",
        "authorized_official_telephone_number": "214-743-6180"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "TX",
            "license": "29932",
            "primary": true
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2151414",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Metrocare Pharmacy at Lifenet",
            "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 Dec 2, 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.