NPIMap

Organization Active NPI

University of Texas Southwestern Medical Center at Dallas

Doing business as UT Southwestern Campus Pharmacy

  • Community/Retail Pharmacy
  • Dallas, TX
National Provider Identifier
1659434801
Registry record updated Nov 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
23929 Issued in TX
Legal business name
UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS
Doing business as
UT Southwestern Campus Pharmacy
Practice address
5303 Harry Hines Blvd # U4.902
Dallas, TX 75390-8862
Phone
(214) 648-2422
Fax
(214) 648-2652
NPI assigned
Dec 19, 2006
Last updated
Nov 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2025

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

Authorized official

Name
Mark Alan Meyer
Title
Health System Cfo
Phone
(214) 633-4804

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 23929 TX Primary

Addresses

Primary practice location

5303 Harry Hines Blvd # U4.902
Dallas, TX 75390-8862

Mailing address

5303 Harry Hines Blvd # U4.902
Dallas, TX 75390-7208
Phone (214) 648-2422

Other names 1

  • UT Southwestern Campus Pharmacy Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.offceally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Bluemark LLC/Office Ally

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20171117002750 TX Part B Supplier - Pharmacy 0143271395 8 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Frisco, TX; Fort Worth, TX; Dallas, TX
O20171117002890 TX Part B Supplier - Pharmacy 2264480680 Practice locations: Dallas, TX
O20200403000203 TX DME Supplier - PharmacyDME Supplier - Hospital 0143271395 1 other NPI on this enrollment
Practice locations: Dallas, TX

Other NPIs with the same Medicare PAC ID 9

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 8

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

National Provider Directory

National Provider Directory

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Locations

1801 Inwood Rd
#2
Dallas, TX 75235

1801 Inwood Rd
Fl 2
Dallas, TX 75235

2201 Inwood Rd
#2
Dallas, TX 75235
Phone (214) 633-0299

2201 Inwood Rd
Fl 1
Dallas, TX 75235
Phone (214) 645-2700

2201 Inwood Rd
Fl Second
Dallas, TX 75235

2201 Inwood Rd
Fl Third
Dallas, TX 75235

2201 Inwood Rd Third
Dallas, TX 75390

3450 W Camp Wisdom Rd
Ste 1510
Dallas, TX 75237
Phone (469) 372-6101

5303 Harry Hines Blvd
#U4902
Dallas, TX 75390
Phone (214) 648-2422

5303 Harry Hines Blvd
Fl 2
Dallas, TX 75390
Phone (214) 645-3425

5303 Harry Hines Blvd
Fl 5
Dallas, TX 75390

5303 Harry Hines Blvd
Ste U4902
Dallas, TX 75390
Phone (214) 648-2422

5323 Harry Hines Blvd
#G4212
Dallas, TX 75390
Phone (214) 648-3450

5939 Harry Hines Blvd
Ste 600
Dallas, TX 75235
Phone (214) 645-5633

5959 Harry Hines Blvd
Fl First
Dallas, TX 75235

5959 Harry Hines Blvd
Fl Second
Dallas, TX 75235

6201 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 633-0100

6201 Harry Hines Blvd
Ste 1117
Dallas, TX 75235
Phone (214) 633-4122

6202 Harry Hines Blvd Nm 2850
Dallas, TX 75390
Phone (214) 645-2666

6333 Frst Park Rd
Ste BLA 126
Dallas, TX 75390
Phone (214) 645-6828

5303 Harry Hines Blvd
Ste 500
Ut Southwest Medical Center, TX 75390

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Ut Southwestern University HospitalDallas, TX, CCN 450044 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Jan 1, 2005
Jan 1, 2005

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763942400000",
    "number": "1659434801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5303 HARRY HINES BLVD # U4.902",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753907208",
            "telephone_number": "214-648-2422",
            "fax_number": "214-648-2652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5303 HARRY HINES BLVD # U4.902",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753908862",
            "telephone_number": "214-648-2422",
            "fax_number": "214-648-2652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A",
        "authorized_official_last_name": "MEYER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "HEALTH SYSTEM CFO",
        "authorized_official_telephone_number": "214-633-4804"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "23929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.offceally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.2019.3",
            "affiliationName": "Bluemark LLC/Office Ally",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "1300 SE Cardinal Ct Ste 190",
            "city": "Vancouver",
            "state": "WA",
            "country_code": "US",
            "postal_code": "986839683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "UT Southwestern Campus Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.