Fiesta Pharmacy

Primary specialty

PharmacistTaxonomy code 183500000X

License

23938 Issued in TX

Legal business name

FIESTA PHARMACY

Practice address

6190 Lyndon B Johnson Fwy
Suite #600
Dallas, TX 75240-6344

Phone

(972) 866-0017

Fax

(972) 866-0019

NPI assigned

Feb 14, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Prince C Nwaorgu

Title

Pharmacist

Phone

(214) 275-8066

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Fiesta Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Fiesta Pharmacy

  • Pharmacist
  • Dallas, TX
  • NPI 1083836613
  NPD tax ID

Locations

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891837720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2947 S BUCKNER BLVD",
            "address_2": "SUITE #500",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752276944",
            "telephone_number": "214-275-8066",
            "fax_number": "214-275-7796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6190 LYNDON B JOHNSON FWY",
            "address_2": "SUITE #600",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752406344",
            "telephone_number": "972-866-0017",
            "fax_number": "972-866-0019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIESTA PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NWAORGU",
        "authorized_official_first_name": "PRINCE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "214-275-8066",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "23938",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145505",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sandra Carolina Fierro, LPC
• Ruth S. Fierros Gonzalez, MA, LPC
• Stephanie Aracely Fierros, PA
• Fiesta Pharmacy
• Fiesta Pharmacy
• Mary Jessica Fiesta, ANP-BC
• Russell W Fife, DDS
• Susan Logreeta Fife, CNM
• Paul Figel, D.O.
• Andres Valentin Figueroa Barrios, MD

• Pharmacist in Dallas, TX
• Providers in Dallas, TX by specialty
• Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.