Doughertys Pharmacy Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

DOUGHERTYS PHARMACY INC

Practice address

5959 Royal LN Ste 515
Dallas, TX 75230-3890

Phone

(214) 373-5300

Fax

(214) 373-5333

NPI assigned

Nov 16, 2020

Organization subpart

No

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

Authorized official

Name

Stewart Edington

Title

Authorized Official

Phone

(954) 818-6813

Specialties & licenses 1

Addresses

Other names 1

• Doughertys Health Services 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.

• Steven Rodriguez, PHARMD

  • Pharmacist
  • Dallas, TX
  • NPI 1851028120
  NPD (past)

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"
        }
    ]
}

• Patrick Kelly Dougherty, MPAS, PA-C
• Dougherty'S Pharmacy Inc.
• Doughertys LTC Pharmacy LLC
• Doughertys Pharmacy Inc
• Doughertys Pharmacy Inc
• Kyle Edward Doughty, M.D.
• Douglas Avenue Medical Management Co
• Douglas Bellamy, Edd Psychologist PC
• Douglas R. Turgeon, M.D., P.a.
• Douglas T Stafford DO PA

• Family Medicine Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Family Medicine Physician in Texas

• 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.