Active NPI
Parc Plaza Pharmacy Inc
Doing business as US Pharmacy of Dallas
- Community/Retail Pharmacy
- Dallas, TX
National Provider Identifier
1720262926
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PENDING
- Legal business name
- PARC PLAZA PHARMACY INC
- Doing business as
- US Pharmacy of Dallas
- Practice address
- 4801 S Buckner Blvd
100
Dallas, TX 75227-2373 - Phone
- (214) 228-6987
- Fax
- (214) 228-6987
- NPI assigned
- Dec 24, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gladys Kinyuy Ntaryike, RPH
- Title
- President/ Pharmacist-in-Charge
- Phone
- (214) 228-6987
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | PENDING | TX | Primary |
Addresses
Primary practice location
4801 S Buckner Blvd
100
Dallas, TX 75227-2373
Mailing address
4801 S Buckner Blvd,
100
Dallas,, TX 75227
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | TX | |
| PENDING | Other | TX | PHARMACY LICENSE NUMBER |
Other names 1
- US PHARMACY OF DALLAS
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198454400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1198454400000",
"number": "1720262926",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4801 S BUCKNER BLVD,",
"address_2": "100",
"city": "DALLAS,",
"state": "TX",
"postal_code": "75227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4801 S BUCKNER BLVD",
"address_2": "100",
"city": "DALLAS",
"state": "TX",
"postal_code": "752272373",
"telephone_number": "214-228-6987",
"fax_number": "214-228-6987"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARC PLAZA PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-24",
"last_updated": "2007-12-24",
"status": "A",
"authorized_official_last_name": "NTARYIKE",
"authorized_official_first_name": "GLADYS",
"authorized_official_middle_name": "KINYUY",
"authorized_official_title_or_position": "PRESIDENT/ PHARMACIST-IN-CHARGE",
"authorized_official_telephone_number": "214-228-6987",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "TX",
"license": "PENDING",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACY LICENSE NUMBER",
"identifier": "PENDING",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "US PHARMACY OF DALLAS",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Dec 24, 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.