Organization Active NPI

PCN Care PLLC

  • Community/Retail Pharmacy
  • Dallas, TX
National Provider Identifier
1407475684
Registry record updated Jul 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
PCN CARE PLLC
Practice address
3201 W Saner Ave Ste 100
Dallas, TX 75233-1430
Phone
(214) 377-4310
Fax
(214) 331-7630
NPI assigned
Apr 8, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2023

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

Authorized official

Name
David Duc Nguyen, PHARMDNPI 1669782793
Title
Pharmacist/Owner
Phone
(469) 206-6116

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

3201 W Saner Ave Ste 100
Dallas, TX 75233-1430

Mailing address

3108 Willow Brook Dr
Mansfield, TX 76063-2075
Phone (682) 367-9018

Other names 1

  • Md Kids Pediatric's Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

3201 W Saner Ave
Ste 100
Dallas, TX 75233
Phone (214) 377-4310

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": "1586304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688601600000",
    "number": "1407475684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3108 WILLOW BROOK DR",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760632075",
            "telephone_number": "682-367-9018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 W SANER AVE STE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752331430",
            "telephone_number": "214-377-4310",
            "fax_number": "214-331-7630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PCN CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-08",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "DUC",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "469-206-6116",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Md Kids Pediatric's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Md Kids Pediatric's 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 6, 2023; 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.