Dallas Specialty Pharmacy,LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

30079 Issued in TX

Legal business name

DALLAS SPECIALTY PHARMACY,LLC

Practice address

5501 Gordon Smith
Suite 170
Rowlett, TX 75089

Phone

(240) 235-5895

NPI assigned

Jul 27, 2015

Last updated

Jul 27, 2015By 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. Nizar A Alikhan

Title

Credentialing Contact

Phone

(240) 235-5895

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1437955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437955200000",
    "number": "1538544937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 GORDON SMITH",
            "address_2": "SUITE 170",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "75089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 GORDON SMITH",
            "address_2": "SUITE 170",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "75089",
            "telephone_number": "240-235-5895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALLAS SPECIALTY PHARMACY,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-27",
        "last_updated": "2015-07-27",
        "status": "A",
        "authorized_official_last_name": "ALIKHAN",
        "authorized_official_first_name": "NIZAR",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CREDENTIALING CONTACT",
        "authorized_official_telephone_number": "240-235-5895",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "30079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2015; 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.