Organization Active NPI

Maplewood Pharmacy

  • Pharmacy
  • Dallas, TX
National Provider Identifier
1740667898
Registry record updated Jan 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
29931 Issued in TX
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

Updated by the provider on Jan 18, 2017

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
148520MedicaidTX
2151589OtherPK

Other names 1

  • Maplewood Pharmacy 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": "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.

Verify at the official NPI Registry.