NPIMap

Organization Active NPI

Iba Molecular North America, Inc

  • Nuclear Pharmacy
  • Dallas, TX
National Provider Identifier
1780075986
Registry record updated Feb 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear PharmacyTaxonomy code 3336N0007X
License
26246 Issued in TX
Legal business name
IBA MOLECULAR NORTH AMERICA, INC
Practice address
4447 Brass Way
Dallas, TX 75236-2001
Phone
(214) 331-2268
Fax
(214) 331-2450
NPI assigned
Feb 10, 2015
Last updated
Feb 10, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2015

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

Authorized official

Name
Julius Martin III, PHARMD
Title
Pharmacy Manager
Phone
(214) 331-2268

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Pharmacy 3336N0007X 26246 TX Primary
Nuclear Pharmacy 3336N0007X PHY.006506-NR LA
Nuclear Pharmacy 3336N0007X 99-5936 OK
Nuclear Pharmacy 3336N0007X 22-10390 KS

Addresses

Primary practice location

4447 Brass Way
Dallas, TX 75236-2001

Mailing address

4447 Brass Way
Dallas, TX 75236-2001
Phone (214) 331-2268

National Provider Directory

National Provider Directory

Locations

4447 Brass Way
Dallas, TX 75236
Phone (214) 331-2268

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1423526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423526400000",
    "number": "1780075986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4447 BRASS WAY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752362001",
            "telephone_number": "214-331-2268",
            "fax_number": "214-331-2450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4447 BRASS WAY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752362001",
            "telephone_number": "214-331-2268",
            "fax_number": "214-331-2450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IBA MOLECULAR NORTH AMERICA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-10",
        "last_updated": "2015-02-10",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "JULIUS",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "214-331-2268",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336N0007X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Nuclear Pharmacy",
            "state": "TX",
            "license": "26246",
            "primary": true
        },
        {
            "code": "3336N0007X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Nuclear Pharmacy",
            "state": "LA",
            "license": "PHY.006506-NR",
            "primary": false
        },
        {
            "code": "3336N0007X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Nuclear Pharmacy",
            "state": "OK",
            "license": "99-5936",
            "primary": false
        },
        {
            "code": "3336N0007X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Nuclear Pharmacy",
            "state": "KS",
            "license": "22-10390",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 10, 2015; 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.