Active NPI
Executive Health, LLC
Doing business as Apothecary Shop #7
- Pharmacy
- Dallas, TX
National Provider Identifier
1487800165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 25175
- Legal business name
- EXECUTIVE HEALTH, LLC
- Doing business as
- Apothecary Shop #7
- Practice address
- 6303 Forest Park Rd Ste 255a
Dallas, TX 75235-5472 - Phone
- (214) 357-8889
- Fax
- (214) 357-8370
- NPI assigned
- Aug 13, 2008
- Last updated
- Aug 13, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Semyon Narosov, MSPT
- Title
- President
- Phone
- (214) 357-8889
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 25175 | TX | Primary |
Addresses
Primary practice location
6303 Forest Park Rd Ste 255a
Dallas, TX 75235-5472
Mailing address
19009 Preston Rd Ste 215-106
Dallas, TX 75252-2496
Phone (972) 702-9310
Other names 1
- Apothecary Shop #7
National Provider Directory
National Provider Directory- Tax ID family
- Allied Tri-Med
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Allied Tri-Med
- Durable Medical Equipment & Medical Supplies
- Dallas, TX
- NPI 1205173481
Locations
6303 Forest Park Rd
Ste 255A
Dallas, TX 75235
Phone (214) 357-8889
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Pharmacist
- Dallas, TX
- NPI 1346468691
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218585600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1218585600000",
"number": "1487800165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19009 PRESTON RD STE 215-106",
"city": "DALLAS",
"state": "TX",
"postal_code": "752522496",
"telephone_number": "972-702-9310",
"fax_number": "972-458-7111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6303 FOREST PARK RD STE 255A",
"city": "DALLAS",
"state": "TX",
"postal_code": "752355472",
"telephone_number": "214-357-8889",
"fax_number": "214-357-8370"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EXECUTIVE HEALTH, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-08-13",
"last_updated": "2008-08-13",
"status": "A",
"authorized_official_last_name": "NAROSOV",
"authorized_official_first_name": "SEMYON",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "214-357-8889",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MSPT"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "TX",
"license": "25175",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Apothecary Shop #7",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Dallas, TX
- Exceptional Patriots Healthcare LLC
- Exceptional Physician Group Hurricane Hospital PLLC
- Exceptional Physicians Group Minot PLLC
- Exceptional Physicians Group PLLC
- Exclusive Care Soultions,Inc.
- Executive Healthcare (The Apothecary Shop)
- Executive Healthcare, LLC (Allied Tri-Med)
- Exelon Health Management LLC
- Exploratory & Diagnostic Imaging Center
- Express Communications (Metro Medical Transportation)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.