Meridian Pharmacy Group at Irving Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

26178 Issued in TX

Legal business name

MERIDIAN PHARMACY GROUP AT IRVING INC

Practice address

1111 S Irving Heights Dr
Irving, TX 75060-6237

Phone

(214) 492-0123

Fax

(214) 492-2345

NPI assigned

Nov 19, 2008

Organization subpart

No

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

Authorized official

Name

Pamela Ashu

Title

Pharmacist

Phone

(214) 765-9238

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Meridian Pharmacy Group Doing business as

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

{
    "created_epoch": "1227052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393459200000",
    "number": "1760637631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2730 N STEMMONS FWY",
            "address_2": "SUITE 813",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752072279",
            "telephone_number": "214-951-0133",
            "fax_number": "214-951-0155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 S IRVING HEIGHTS DR",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750606237",
            "telephone_number": "214-492-0123",
            "fax_number": "214-492-2345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIDIAN PHARMACY GROUP AT IRVING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-19",
        "last_updated": "2014-02-27",
        "status": "A",
        "authorized_official_last_name": "ASHU",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "214-765-9238"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "26178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2117848",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "466561",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Meridian Pharmacy Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Irving, TX
• Providers in Irving, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2014; 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.