NPIMap

Organization Active NPI

Palmer Pharmacy Plus Inc

Doing business as Palmer Pharmacy Plus DME

  • Community/Retail Pharmacy
  • Dallas, TX
National Provider Identifier
1730395906
Registry record updated Jan 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
23019 Issued in TX
Legal business name
PALMER PHARMACY PLUS INC
Doing business as
Palmer Pharmacy Plus DME
Practice address
2731 W Northwest Highway
Suite 105
Dallas, TX 75220
Phone
(214) 765-9238
Fax
(214) 765-9240
NPI assigned
May 15, 2007
Last updated
Jan 28, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2016

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

Authorized official

Name
Pamela Ayamba Ashu, PHARMACIST
Title
Pharmacist in Charge
Phone
(214) 765-9238

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 23019 TX
Community/Retail Pharmacy 3336C0003X 23019 TX Primary

Addresses

Primary practice location

2731 W Northwest Highway
Suite 105
Dallas, TX 75220

Mailing address

2731 W Northwest Highway
Suite 105
Dallas, TX 75220
Phone (214) 765-9238

Other identifiers 3

IdentifierTypeStateIssuer
146025502MedicaidTX
146025503MedicaidTX
146025501MedicaidTX

Other names 1

  • Palmer Pharmacy Plus DME Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Palmer Pharmacy Plus3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453939200000",
    "number": "1730395906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2731 W NORTHWEST HIGHWAY",
            "address_2": "SUITE 105",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75220",
            "telephone_number": "214-765-9238",
            "fax_number": "214-765-9240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2731 W NORTHWEST HIGHWAY",
            "address_2": "SUITE 105",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75220",
            "telephone_number": "214-765-9238",
            "fax_number": "214-765-9240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMER PHARMACY PLUS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2016-01-28",
        "status": "A",
        "authorized_official_last_name": "ASHU",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "AYAMBA",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "214-765-9238",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "23019",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "23019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146025502",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146025503",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146025501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palmer Pharmacy Plus DME",
            "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 Jan 28, 2016; 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.