Active NPI
Marsha Proctor, PHARMD
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Dallas, TX
National Provider Identifier
1942569462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 31460
- Practice address
- 4500 S Lancaster Rd
Dallas, TX 75216-7167 - Phone
- (800) 849-3597
- NPI assigned
- May 4, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 31460 | TX | |
| Geriatric Pharmacist | 1835G0303X | 31460 | TX | |
| Nutrition Support Pharmacist | 1835N1003X | 31460 | TX | |
| Oncology Pharmacist | 1835X0200X | 31460 | TX | |
| Ambulatory Care Pharmacist | 1835P2201X | 31460 | TX | |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 31460 | TX | Primary |
Addresses
Primary practice location
4500 S Lancaster Rd
Dallas, TX 75216-7167
Mailing address
8111 Oak Hollow Dr
Arlington, TX 76001-7250
Other practice location 1
1724 E Broad St Ste 136
Mansfield, TX 76063-9140
Phone (817) 453-5022
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31460 | TX | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medtex Infusion Therapy LLC | Pharmacist Clinician (PHC)/ Clinical Pharmacy Specialist | Current | Accepting new patients |
| Infusion Services & Specialty Pharmacy | Current | Accepting new patients |
Locations
1724 E Broad St
Ste 136
Mansfield, TX 76063
Phone (817) 453-5022
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Home Infusion Agency
- Mansfield, TX
- NPI 1215501242
-
- Internal Medicine Physician
- Irving, TX
- NPI 1003619859
Pharmacist Clinician (PHC)/ Clinical Pharmacy Specialist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618444800000",
"number": "1942569462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8111 OAK HOLLOW DR",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760017250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 S LANCASTER RD",
"city": "DALLAS",
"state": "TX",
"postal_code": "752167167",
"telephone_number": "800-849-3597"
}
],
"practiceLocations": [
{
"address_1": "1724 E Broad St Ste 136",
"address_purpose": "LOCATION",
"city": "Mansfield",
"state": "TX",
"postal_code": "760639140",
"country_code": "US",
"telephone_number": "817-453-5022",
"fax_number": "817-453-5027",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PROCTOR",
"first_name": "MARSHA",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-05-04",
"last_updated": "2021-04-15",
"certification_date": "2021-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "31460",
"primary": false
},
{
"code": "1835G0303X",
"taxonomy_group": "",
"desc": "Pharmacist, Geriatric",
"state": "TX",
"license": "31460",
"primary": false
},
{
"code": "1835N1003X",
"taxonomy_group": "",
"desc": "Pharmacist, Nutrition Support",
"state": "TX",
"license": "31460",
"primary": false
},
{
"code": "1835X0200X",
"taxonomy_group": "",
"desc": "Pharmacist, Oncology",
"state": "TX",
"license": "31460",
"primary": false
},
{
"code": "1835P2201X",
"taxonomy_group": "",
"desc": "Pharmacist, Ambulatory Care",
"state": "TX",
"license": "31460",
"primary": false
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "TX",
"license": "31460",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Apr 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.