Organization Active NPI

Doughertys Pharmacy Inc

Doing business as Doughertys Health Services

  • Family Medicine Physician
  • Dallas, TX
National Provider Identifier
1821691676
Registry record updated Nov 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
DOUGHERTYS PHARMACY INC
Doing business as
Doughertys Health Services
Practice address
5959 Royal LN Ste 515
Dallas, TX 75230-3890
Phone
(214) 373-5300
Fax
(214) 373-5333
NPI assigned
Nov 16, 2020
Last updated
Nov 16, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2020

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

Authorized official

Name
Stewart EdingtonNPI 1154732998
Title
Authorized Official
Phone
(954) 818-6813

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

5959 Royal LN Ste 515
Dallas, TX 75230-3890

Mailing address

5959 Royal LN Ste 515
Dallas, TX 75230-3890
Phone (214) 373-5300

Other names 1

  • Doughertys Health Services Doing business as

National Provider Directory

National Provider Directory

Locations

5959 Royal Ln
Ste 515
Dallas, TX 75230
Phone (214) 373-5300

Practitioners & affiliated clinicians

Practitioners 2

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": "1605484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605484800000",
    "number": "1821691676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 ROYAL LN STE 515",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752303890",
            "telephone_number": "214-373-5300",
            "fax_number": "214-373-5333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5959 ROYAL LN STE 515",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752303890",
            "telephone_number": "214-373-5300",
            "fax_number": "214-373-5333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGHERTYS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-16",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-16",
        "status": "A",
        "authorized_official_last_name": "EDINGTON",
        "authorized_official_first_name": "STEWART",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "954-818-6813"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Doughertys Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 16, 2020; 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.