NPIMap

Individual provider Active NPI

Dale Axtman

  • Pharmacist
  • Dallas, TX
National Provider Identifier
1780998716
Registry record updated Aug 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
44637 Issued in TX
Practice address
7700 W NW Hwy
Dallas, TX 75225-2288
Phone
(214) 346-1030
Fax
(214) 346-1035
NPI assigned
Aug 2, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 44637 TX Primary

Addresses

Primary practice location

7700 W NW Hwy
Dallas, TX 75225-2288

Mailing address

3663 Briarpark Dr
Houston, TX 77042-5205
Phone (713) 268-3630

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Randalls Food & Drugs LP Past Accepting new patients
Randalls Food & Drugs LP Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1280707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280707200000",
    "number": "1780998716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3663 BRIARPARK DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770425205",
            "telephone_number": "713-268-3630",
            "fax_number": "623-869-1717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 W NW HWY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752252288",
            "telephone_number": "214-346-1030",
            "fax_number": "214-346-1035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AXTMAN",
        "first_name": "DALE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-02",
        "last_updated": "2010-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "44637",
            "primary": true
        }
    ],
    "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 Aug 2, 2010; 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.