Preston Road Pharmacy, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

03321 Issued in TX

Legal business name

PRESTON ROAD PHARMACY, INC.

Practice address

6901 Preston Rd
Dallas, TX 75205-1186

Phone

(214) 521-9991

Fax

(214) 521-1649

NPI assigned

Aug 30, 2006

Last updated

Aug 18, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jonathan P. Lipe, PHARM.D.NPI 1386274405

Title

President/Pic

Phone

(214) 521-9991

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jonathan Paul Lipe

  • Pharmacist
  • Dallas, TX
  • NPI 1386274405
  Authorized official Same address or phone
• Kevin Campbell, PHARM.D.

  • Pharmacist
  • Dallas, TX
  • NPI 1376173567
  NPD

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219017600000",
    "number": "1477662427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6901 PRESTON RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752051186",
            "telephone_number": "214-521-9991",
            "fax_number": "214-521-1649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6901 PRESTON RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752051186",
            "telephone_number": "214-521-9991",
            "fax_number": "214-521-1649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTON ROAD PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2008-08-18",
        "status": "A",
        "authorized_official_last_name": "LIPE",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "PRESIDENT/PIC",
        "authorized_official_telephone_number": "214-521-9991",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "03321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Preston Modern Dentistry, PC (Preston Modern Dentistry)
• Preston One Dental Studio and Orthodontics (Heritage Family Dentistry North Dallas)
• Preston Pain Institute
• Preston Rehabilitation Center
• Preston Road Apothecary Inc
• Preston Rsvi PLLC (Lucent Dentistry)
• Preston Sherry Sleep Solutions
• Preston Smiles PLLC
• Preston Wood Pediatrics LLC
• Preston Wood Pediatrics, LLC

• Community/Retail Pharmacy in Dallas, TX
• Providers in Dallas, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.