Active NPI
Maplewood Pharmacy
- Pharmacy
- Dallas, TX
National Provider Identifier
1740667898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 29931
- Legal business name
- MAPLEWOOD PHARMACY
- Doing business as
- Maplewood Pharmacy
- Practice address
- 2515 Inwood Rd Ste 107
Dallas, TX 75235-7400 - Phone
- (844) 627-9663
- Fax
- (469) 629-7757
- NPI assigned
- Apr 28, 2015
- 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
- Lauryn Cyrus, PHARMD, MBA
- Title
- Pic
- Phone
- (844) 627-9663
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 29931 | TX | Primary |
| Community/Retail Pharmacy | 3336C0003X | |||
| Compounding Pharmacy | 3336C0004X |
Addresses
Primary practice location
2515 Inwood Rd Ste 107
Dallas, TX 75235-7400
Mailing address
2515 Inwood Rd
Ste 107
Dallas, TX 75235-7434
Phone (844) 627-9663
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 148520 | Medicaid | TX | |
| 2151589 | Other | PK |
Other names 1
- Maplewood Pharmacy
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430179200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1484697600000",
"number": "1740667898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2515 INWOOD RD",
"address_2": "STE 107",
"city": "DALLAS",
"state": "TX",
"postal_code": "752357434",
"telephone_number": "844-627-9663",
"fax_number": "469-629-7757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2515 INWOOD RD STE 107",
"city": "DALLAS",
"state": "TX",
"postal_code": "752357400",
"telephone_number": "844-627-9663",
"fax_number": "469-629-7757"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAPLEWOOD PHARMACY",
"organizational_subpart": "NO",
"enumeration_date": "2015-04-28",
"last_updated": "2017-01-18",
"status": "A",
"authorized_official_last_name": "CYRUS",
"authorized_official_first_name": "LAURYN",
"authorized_official_title_or_position": "PIC",
"authorized_official_telephone_number": "844-627-9663",
"authorized_official_credential": "PHARMD, MBA"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "TX",
"license": "29931",
"primary": true
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "148520",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2151589",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Maplewood 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 Jan 18, 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.