Active NPI
Oak Cliff Pharmacy LLC
- Community/Retail Pharmacy
- Dallas, TX
National Provider Identifier
1740354273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 25321
- Legal business name
- OAK CLIFF PHARMACY LLC
- Doing business as
- OAK CLIFF PHARMACY
- Practice address
- 3436 S Polk St
Dallas, TX 75224-3804 - Phone
- (214) 371-2815
- Fax
- (214) 371-0606
- NPI assigned
- Nov 17, 2006
- 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
- Ronald Barrett
- Title
- Owner Manager
- Phone
- (214) 371-2815
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 25321 | TX | Primary |
Addresses
Primary practice location
3436 S Polk St
Dallas, TX 75224-3804
Mailing address
3436 S Polk St
Dallas, TX 75224-3804
Phone (214) 371-2815
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 29259 | Medicaid | TX | |
| 145733 | Medicaid | TX | |
| 2099681 | Other | PK |
Other names 1
- OAK CLIFF PHARMACY
National Provider Directory
National Provider Directory- Tax ID family
- Oak Cliff Pharmacy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Primary Care Clinic/Center
- Dallas, TX
- NPI 1770703894
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163721600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1491350400000",
"number": "1740354273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3436 S POLK ST",
"city": "DALLAS",
"state": "TX",
"postal_code": "752243804",
"telephone_number": "214-371-2815",
"fax_number": "214-371-0606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3436 S POLK ST",
"city": "DALLAS",
"state": "TX",
"postal_code": "752243804",
"telephone_number": "214-371-2815",
"fax_number": "214-371-0606"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OAK CLIFF PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-17",
"last_updated": "2017-04-05",
"status": "A",
"authorized_official_last_name": "BARRETT",
"authorized_official_first_name": "RONALD",
"authorized_official_title_or_position": "OWNER MANAGER",
"authorized_official_telephone_number": "214-371-2815"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "TX",
"license": "25321",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "29259",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "145733",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2099681",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "OAK CLIFF PHARMACY",
"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 Apr 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.