The Medical Center Pharmacy LTD Co

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

29628 Issued in TX

Legal business name

THE MEDICAL CENTER PHARMACY LTD CO

Doing business as

DBA Skyline Pharmacy

Practice address

16051 Addison Rd #305
Addison, TX 75001

Phone

(972) 290-1126

Fax

(214) 602-7453

NPI assigned

Mar 25, 2015

Last updated

Jul 25, 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

Linh Nguyen

Title

Manager

Phone

(832) 643-1113

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• DBA Skyline Pharmacy Doing business as

Tax ID family

Dba Skyline Pharmacy2 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.

• Medical Center Pharmacy, LTD.Co

  dba Medical Center Pharmacy-Stone Oak

  • Compounding Pharmacy
  • San Antonio, TX
  • NPI 1861870123
  NPD tax ID

Locations

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

{
    "created_epoch": "1427241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469404800000",
    "number": "1538553847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16051 ADDISON RD #305",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "75001",
            "telephone_number": "972-290-1126",
            "fax_number": "214-602-7453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16051 ADDISON RD #305",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "75001",
            "telephone_number": "972-290-1126",
            "fax_number": "214-602-7453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MEDICAL CENTER PHARMACY LTD CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-25",
        "last_updated": "2016-07-25",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "LINH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "832-643-1113"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "29628",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2150174",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DBA Skyline Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Timothy M Theriault, PT
• Stacey Merin Thomas
• Stephanie Thomas, MS, CCC-SLP

• Community/Retail Pharmacy in Addison, TX
• Providers in Addison, 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 Jul 25, 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.