Active NPI
Oncology Center of Southwest P a
- Community/Retail Pharmacy
- Plano, TX
National Provider Identifier
1790017697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 26696
- Legal business name
- ONCOLOGY CENTER OF SOUTHWEST P A
- Practice address
- 4712 Dexter Dr Ste 200
Plano, TX 75093-5290 - Phone
- (972) 758-2664
- Fax
- (972) 758-2660
- NPI assigned
- Feb 3, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Naresh Gupta
- Title
- President
- Phone
- (972) 758-2664
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic Pharmacy | 3336C0002X | |||
| Community/Retail Pharmacy | 3336C0003X | 26696 | TX | Primary |
| Compounding Pharmacy | 3336C0004X | |||
| Specialty Pharmacy | 3336S0011X |
Addresses
Primary practice location
4712 Dexter Dr Ste 200
Plano, TX 75093-5290
Mailing address
4712 Dexter Dr Ste 200
Plano, TX 75093-5290
Phone (972) 758-2664
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4554855 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names 1
- Dexter Speciality Pharmacy
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265155200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1265155200000",
"number": "1790017697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4712 DEXTER DR STE 200",
"city": "PLANO",
"state": "TX",
"postal_code": "750935290",
"telephone_number": "972-758-2664",
"fax_number": "972-758-2660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4712 DEXTER DR STE 200",
"city": "PLANO",
"state": "TX",
"postal_code": "750935290",
"telephone_number": "972-758-2664",
"fax_number": "972-758-2660"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ONCOLOGY CENTER OF SOUTHWEST P A",
"organizational_subpart": "NO",
"enumeration_date": "2010-02-03",
"last_updated": "2010-02-03",
"status": "A",
"authorized_official_last_name": "GUPTA",
"authorized_official_first_name": "NARESH",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "972-758-2664"
},
"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": "26696",
"primary": true
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
"identifier": "4554855",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Dexter Speciality Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.