NDC Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

31750 Issued in TX

Legal business name

NDC PHARMACY

Practice address

4666 McDermott Rd Ste 200
Plano, TX 75024-7772

Phone

(469) 888-4672

Fax

(469) 888-4672

NPI assigned

Dec 13, 2017

Last updated

Apr 11, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Khanh Hoang, PHARM D

Title

Pharmacist in Charge

Phone

(469) 888-4672

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1513123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554940800000",
    "number": "1881109734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4666 MCDERMOTT RD",
            "address_2": "200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "75024",
            "telephone_number": "972-517-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4666 MCDERMOTT RD STE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750247772",
            "telephone_number": "469-888-4672",
            "fax_number": "469-888-4672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NDC PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-13",
        "last_updated": "2019-04-11",
        "status": "A",
        "authorized_official_last_name": "HOANG",
        "authorized_official_first_name": "KHANH",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "469-888-4672",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "31750",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BOARD OF PHARMACY",
            "identifier": "31750",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Community/Retail Pharmacy in Plano, TX
• Providers in Plano, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2019; 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.