Individual provider Active NPI

Carlos N. Lacy, PHARM. D.

  • Pharmacist
  • Dallas, TX
National Provider Identifier
1598867756
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
37161 Issued in TX
Practice address
V a North Texas Health Care System (119)
4500 South Lancaster Road
Dallas, TX 75216-7191
Phone
(214) 857-0561
Fax
(214) 857-0585
NPI assigned
Sep 1, 2006
Sex
Male
Sole proprietor
No

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 37161 TX Primary

Addresses

Primary practice location

V a North Texas Health Care System (119)
4500 South Lancaster Road
Dallas, TX 75216-7191

Mailing address

201 S Joe Wilson Rd Apt 1016
Cedar Hill, TX 75104-2940
Phone (214) 857-0561

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
37161TXMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598867756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 S JOE WILSON RD APT 1016",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751042940",
            "telephone_number": "214-857-0561",
            "fax_number": "214-857-0585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "V A NORTH TEXAS HEALTH CARE SYSTEM (119)",
            "address_2": "4500 SOUTH LANCASTER ROAD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752167191",
            "telephone_number": "214-857-0561",
            "fax_number": "214-857-0585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACY",
        "first_name": "CARLOS",
        "middle_name": "N.",
        "name_prefix": "Dr.",
        "credential": "PHARM. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "37161",
            "primary": true
        }
    ],
    "identifiers": [],
    "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.