Individual provider Active NPI

Debra Kresh, R.PH.

  • Pharmacist
  • Dallas, TX
National Provider Identifier
1508969874
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
37129 Issued in TX
Practice address
Dougherty'S Pharmacy Inc.
515 Preston Royal Village
Dallas, TX 75230
Phone
(214) 363-4318
Fax
(214) 363-6570
NPI assigned
Sep 5, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 37129 TX Primary

Addresses

Primary practice location

Dougherty'S Pharmacy Inc.
515 Preston Royal Village
Dallas, TX 75230

Mailing address

8606 Woodbrook Dr
Dallas, TX 75243-7131
Phone (214) 343-3312

Other identifiers 1

IdentifierTypeStateIssuer
37129OtherTXPHARMACIST'S LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
37129TXMDSpeech-Language Assistant

NPI Registry JSON

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508969874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8606 WOODBROOK DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752437131",
            "telephone_number": "214-343-3312",
            "fax_number": "214-363-6570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DOUGHERTY'S PHARMACY INC.",
            "address_2": "515 PRESTON ROYAL VILLAGE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75230",
            "telephone_number": "214-363-4318",
            "fax_number": "214-363-6570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRESH",
        "first_name": "DEBRA",
        "credential": "R.PH.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "37129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST'S LICENSE",
            "identifier": "37129",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jul 8, 2007; 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.