Organization Active NPI

Parkside Oasis Inc

  • Community/Retail Pharmacy
  • Dallas, TX
National Provider Identifier
1508922873
Registry record updated Apr 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
29643 Issued in TX
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

Updated by the provider on Apr 18, 2017

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

Authorized official

Name
Nicholas Odiase, BS, RPHNPI 1689184426
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2095878OtherPK
145449MedicaidTX

Other names 1

  • GENPHARM PHARMACY Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.