NPIMap

Organization Active NPI

Brandy Pharmacy Corp

Doing business as Brandy Pharmacy 4

  • Pharmacy
  • Mesquite, TX
National Provider Identifier
1497231328
Registry record updated Jul 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
BRANDY PHARMACY CORP
Doing business as
Brandy Pharmacy 4
Practice address
910 N Galloway Ave Ste 102-a
Mesquite, TX 75149-2409
Phone
(972) 992-8205
NPI assigned
Jul 13, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2018

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

Authorized official

Name
Nedal Naser
Title
Pharmacist/Owner
Phone
(972) 992-8205

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

Addresses

Primary practice location

910 N Galloway Ave Ste 102-a
Mesquite, TX 75149-2409

Mailing address

PO Box 851766
Mesquite, TX 75185-1766
Phone (972) 992-8205

Other names 1

  • Brandy Pharmacy 4 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Brandy Pharmacy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

910 N Galloway Ave
Ste 102A
Mesquite, TX 75149
Phone (972) 992-8205

NPI Registry JSON

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

{
    "created_epoch": "1531440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531440000000",
    "number": "1497231328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 851766",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751851766",
            "telephone_number": "972-992-8205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 N GALLOWAY AVE STE 102-A",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751492409",
            "telephone_number": "972-992-8205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANDY PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-13",
        "last_updated": "2018-07-13",
        "status": "A",
        "authorized_official_last_name": "NASER",
        "authorized_official_first_name": "NEDAL",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "972-992-8205"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brandy Pharmacy 4",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Brandy Pharmacy 4",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mesquite, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2018; 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.