Isa Management Services, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

ISA MANAGEMENT SERVICES, LLC

Doing business as

Gaston Pharmacy # 2

Practice address

712 N. Washington Ave
Ste 500
Dallas, TX 75246

Phone

(469) 466-1243

Fax

(469) 533-4934

NPI assigned

Jul 2, 2015

Last updated

Dec 16, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Michael Irizarry

Title

Operations Manager

Phone

(469) 466-1243

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Gaston Pharmacy # 2 Doing business as

Tax ID family

Gaston Pharmacy 12 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Isa Management Services, LLC

  dba Gaston Pharmacy #1

  • Community/Retail Pharmacy
  • Richardson, TX
  • NPI 1033592456
  NPD tax ID

Locations

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

{
    "created_epoch": "1435795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481846400000",
    "number": "1528441946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 N. WASHINGTON AVE",
            "address_2": "STE 500",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75246",
            "telephone_number": "469-466-1243",
            "fax_number": "469-533-4934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 N. WASHINGTON AVE",
            "address_2": "STE 500",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75246",
            "telephone_number": "469-466-1243",
            "fax_number": "469-533-4934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISA MANAGEMENT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-02",
        "last_updated": "2016-12-16",
        "status": "A",
        "authorized_official_last_name": "IRIZARRY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "469-466-1243",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "30054",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149167",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gaston Pharmacy # 2",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katrina Irwin, RN
• Kaylee Leilani Irwin
• Larry James Irwin, PA-C
• Scott B Irwin, LPC
• Tucker Irwin, CRNA
• Salman Isa, DO
• Yamamah Mohammad Isa, WHCNP
• Amanda Isaac
• Marci L Isaac, NP-C
• Michael Gerard Isaac, M.D.

• Community/Retail Pharmacy in Dallas, TX
• Providers in Dallas, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2016; 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.