Organization Active NPI

Remedi Seniorcare of Dallas, LLC

  • Long Term Care Pharmacy
  • Plano, TX
National Provider Identifier
1619342698
Registry record updated Nov 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
REMEDI SENIORCARE OF DALLAS, LLC
Practice address
2700 Research Dr
Suite 200
Plano, TX 75074-8340
Phone
(443) 730-8957
Fax
(410) 484-6021
NPI assigned
Dec 2, 2015
Last updated
Nov 19, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2018

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

Authorized official

Name
John Gould
Title
Cfo
Phone
(614) 956-2417

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

2700 Research Dr
Suite 200
Plano, TX 75074-8340

Mailing address

1 Olympic PL
Suite 600
Towson, MD 21204-4104
Phone (443) 730-8957

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180809000645 TX DME Supplier - Pharmacy 4981952868 Practice locations: Plano, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Remedi Seniorcare2700 Research Dr, Plano, TX 75074-8334(877) 612-4114 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since May 23, 2018

National Provider Directory

National Provider Directory

Locations

2700 Research Dr
Ste 200A
Plano, TX 75074
Phone (469) 344-2144

NPI Registry JSON

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

{
    "created_epoch": "1449014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542585600000",
    "number": "1619342698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 OLYMPIC PL",
            "address_2": "SUITE 600",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212044104",
            "telephone_number": "443-730-8957",
            "fax_number": "410-484-6021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 RESEARCH DR",
            "address_2": "SUITE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750748340",
            "telephone_number": "443-730-8957",
            "fax_number": "410-484-6021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REMEDI SENIORCARE OF DALLAS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-02",
        "last_updated": "2018-11-19",
        "status": "A",
        "authorized_official_last_name": "GOULD",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "614-956-2417"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.