Active NPI
Parkside Oasis Inc
- Community/Retail Pharmacy
- Dallas, TX
National Provider Identifier
1508922873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 29643
- Legal business name
- PARKSIDE OASIS INC
- Practice address
- 3920 W Wheatland Rd
Ste 100
Dallas, TX 75237-3401 - Phone
- (972) 572-9006
- Fax
- (972) 572-9016
- NPI assigned
- Dec 29, 2006
- 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
- Nicholas Odiase, BS, RPH
- Title
- Pharmacist, Owner
- Phone
- (972) 572-9006
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 29643 | TX | Primary |
Addresses
Primary practice location
3920 W Wheatland Rd
Ste 100
Dallas, TX 75237-3401
Mailing address
3920 W Wheatland Rd
Ste 100
Dallas, TX 75237-3401
Phone (972) 572-9006
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2095878 | Other | PK | |
| 145449 | Medicaid | TX |
Other names 1
- GENPHARM PHARMACY
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Dallas, TX
- NPI 1689184426
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167350400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1492473600000",
"number": "1508922873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3920 W WHEATLAND RD",
"address_2": "STE 100",
"city": "DALLAS",
"state": "TX",
"postal_code": "752373401",
"telephone_number": "972-572-9006",
"fax_number": "972-572-9016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3920 W WHEATLAND RD",
"address_2": "STE 100",
"city": "DALLAS",
"state": "TX",
"postal_code": "752373401",
"telephone_number": "972-572-9006",
"fax_number": "972-572-9016"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARKSIDE OASIS INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-29",
"last_updated": "2017-04-18",
"status": "A",
"authorized_official_last_name": "ODIASE",
"authorized_official_first_name": "NICHOLAS",
"authorized_official_title_or_position": "PHARMACIST, OWNER",
"authorized_official_telephone_number": "972-572-9006",
"authorized_official_credential": "BS, RPH"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "TX",
"license": "29643",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2095878",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "145449",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "GENPHARM 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 Apr 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.