Urban Rexall, LLC

Primary specialty

PharmacyTaxonomy code 333600000X

License

21568 Issued in TX

Legal business name

URBAN REXALL, LLC

Doing business as

Urban Pharmacy

Practice address

7517 Military Pkwy
Dallas, TX 75227-3950

Phone

(214) 381-1179

Fax

(214) 381-1237

NPI assigned

Apr 3, 2007

Organization subpart

No

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

Authorized official

Name

Scott Clemens, RPH

Title

Owner

Phone

(972) 564-9000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Urban Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669594610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7517 MILITARY PKWY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752273950",
            "telephone_number": "214-381-1179",
            "fax_number": "214-381-1237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7517 MILITARY PKWY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752273950",
            "telephone_number": "214-381-1179",
            "fax_number": "214-381-1237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URBAN REXALL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CLEMENS",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-564-9000",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "TX",
            "license": "21568",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "4509963",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Urban Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dianne Urey, PA-C

• 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 Aug 22, 2020; 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.