Active NPI
Brent Lane Dance, PHARM.D.
- Pharmacist
- Hereford, TX
National Provider Identifier
1447473012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 44242
- Practice address
- 809 S 25 Mile Ave
Hereford Pharmacy
Hereford, TX 79045-4801 - Phone
- (806) 364-3400
- Fax
- (806) 364-3405
- NPI assigned
- Apr 11, 2007
- Last updated
- Oct 5, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 44242 | TX | Primary |
Addresses
Primary practice location
809 S 25 Mile Ave
Hereford Pharmacy
Hereford, TX 79045-4801
Mailing address
809 S 25 Mile Ave
Hereford, TX 79045-4801
Phone (806) 335-0729
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44242 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317772800000",
"number": "1447473012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "809 S 25 MILE AVE",
"city": "HEREFORD",
"state": "TX",
"postal_code": "790454801",
"telephone_number": "806-335-0729",
"fax_number": "806-372-6550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "809 S 25 MILE AVE",
"address_2": "HEREFORD PHARMACY",
"city": "HEREFORD",
"state": "TX",
"postal_code": "790454801",
"telephone_number": "806-364-3400",
"fax_number": "806-364-3405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANCE",
"first_name": "BRENT",
"middle_name": "LANE",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-11",
"last_updated": "2011-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "44242",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hereford, TX
- Kaylee Irene Chavarria
- Jo-Ann V Collantes, DDS
- Susan Cruz, FNP
- Kylie Joan Culp, FNP-C
- CVS Pharmacy Inc (CVS Pharmacy # 07818)
- David J Purdy DDS, PC
- Deaf Smith County Hospital District (Hereford Regional Medical Center Home Care)
- Deaf Smith County Hospital District (Hereford Medical Plaza)
- Deaf Smith County Hospital District (Hereford Regional Medical Center)
- Deaf Smith County Hospital District (Hereford Health Clinic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.