Ideal Specialty Pharmacy, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

31460 Issued in TX

Legal business name

IDEAL SPECIALTY PHARMACY, LLC

Doing business as

Professional Pharmacy Plus

Practice address

400 W Arbrook Blvd Ste 111
Arlington, TX 76014-3175

Phone

(972) 809-0984

Fax

(972) 809-0986

NPI assigned

Jul 10, 2017

Last updated

Mar 7, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Vin Nguyen

Title

Director

Phone

(972) 809-0984

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Professional Pharmacy Plus Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Phuongdung Luong, PHARMD

  • Pharmacist
  • Grapevine, TX
  • NPI 1134718125
  NPD

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

{
    "created_epoch": "1499644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1760904932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W ARBROOK BLVD STE 111",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760143175",
            "telephone_number": "972-809-0984",
            "fax_number": "972-809-0986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W ARBROOK BLVD STE 111",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760143175",
            "telephone_number": "972-809-0984",
            "fax_number": "972-809-0986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEAL SPECIALTY PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-10",
        "last_updated": "2023-03-07",
        "certification_date": "2022-12-01",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "VIN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "972-809-0984"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "31460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LIC",
            "identifier": "31460",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "5921665",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Professional Pharmacy Plus",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Arlington, TX
• Providers in Arlington, 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 Mar 7, 2023; 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.