Dallas County Hospital District

Primary specialty

PharmacyTaxonomy code 333600000X

License

4633300005 Issued in TX

Legal business name

DALLAS COUNTY HOSPITAL DISTRICT

Doing business as

COPC Pharmacy Southeast Campus

Practice address

9202 Elam Rd
Dallas, TX 75217-4151

Phone

(214) 590-1766

NPI assigned

Sep 8, 2005

Last updated

Jun 3, 2024By 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

Edmundo Castaneda

Title

Exec VP & Chief Operating Officer

Phone

(214) 590-8006

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• COPC Pharmacy Southeast Campus Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Dallas County Hospital District

  dba COPC Pharmacy Southeast Campus

  • Clinic Pharmacy
  • Dallas, TX
  • NPI 1194856096

  O20100930010665

  Same enrollment

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

{
    "created_epoch": "1126137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717372800000",
    "number": "1649264391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 HARRY HINES BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752357709",
            "telephone_number": "469-419-1976",
            "fax_number": "469-419-6210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9202 ELAM RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752174151",
            "telephone_number": "214-590-1766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALLAS COUNTY HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-08",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A",
        "authorized_official_last_name": "CASTANEDA",
        "authorized_official_first_name": "EDMUNDO",
        "authorized_official_title_or_position": "EXEC VP & CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "214-590-8006"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "TX",
            "license": "4633300005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "4589872",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COPC Pharmacy Southeast Campus",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dallas County Hospital District (CV Roman Women's Health Center)
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• Dallas County Hospital District (Parkland Peritoneal Dialysis Clinic)
• Dallas County Hospital District (Anderson Clinic Pharmacy)
• Dallas County Hospital District (Center for Geriatric Care & Healthy Aging)
• Dallas County Hospital District (Physician and Other Providers)
• Dallas County Hospital District (Parkland Central Fill)
• Dallas County Hospital District (Letot Shelter)
• Dallas County Hospital District (Bluitt-Flowers Health Center)
• Dallas County Hospital District (The Villa at Mountain View)

• Pharmacy in Dallas, TX
• Providers in Dallas, TX by specialty
• Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.