Doughertys Pharmacy El Paso LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

29778 Issued in TX

Legal business name

DOUGHERTYS PHARMACY EL PASO LLC

Doing business as

McCrory's Pharmacy

Practice address

6151 Dew Dr Ste 100
El Paso, TX 79912-3912

Phone

(915) 581-9655

Fax

(915) 587-6556

NPI assigned

Jan 27, 2015

Organization subpart

No

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

Authorized official

Name

Andrew Komuves

Title

President&Ceo

Phone

(214) 373-5399

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• McCrory's Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1422316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491955200000",
    "number": "1932599198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16250 KNOLL TRAIL DR",
            "address_2": "SUITE 102",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752482874",
            "telephone_number": "972-860-0201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6151 DEW DR STE 100",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799123912",
            "telephone_number": "915-581-9655",
            "fax_number": "915-587-6556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGHERTYS PHARMACY EL PASO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-27",
        "last_updated": "2017-04-12",
        "status": "A",
        "authorized_official_last_name": "KOMUVES",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "PRESIDENT&CEO",
        "authorized_official_telephone_number": "214-373-5399"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "29778",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "147073",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2149867",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McCrory's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emilio Antonio Doring, MD
• David Allen Dorsey, MD
• Nicholas G Dorsey, RN
• Thiago Dos Santos, PA
• Heather Leeann Doss, FNP
• Kristi Nicole Douglas
• Maria Douglas, CPT
• Weronika Paula Douglas, D.D.S.
• Fernando Doval Perez, DO
• Clinton H. Dowd, MD

• Community/Retail Pharmacy in El Paso, TX
• Providers in El Paso, 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 12, 2017; 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.