Organization Active NPI

Parc Plaza Pharmacy Inc

Doing business as US Pharmacy of Dallas

  • Community/Retail Pharmacy
  • Dallas, TX
National Provider Identifier
1720262926
Registry record updated Dec 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PENDING Issued in TX
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

Updated by the provider on Dec 24, 2007

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
PENDINGMedicaidTX
PENDINGOtherTXPHARMACY LICENSE NUMBER

Other names 1

  • US PHARMACY OF DALLAS Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.