Dorado RX Pharmacy,LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

31767 Issued in TX

Legal business name

DORADO RX PHARMACY,LLC

Practice address

4060 Faudree Rd Ste 101
Odessa, TX 79765-8755

Phone

(432) 614-6828

NPI assigned

Dec 19, 2017

Organization subpart

No

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

Authorized official

Name

Vatsal PatelNPI 1689264822

Title

Managing Member

Phone

(207) 518-3235

Specialties & licenses 1

Addresses

Other names 1

• Dorado Pharmacy Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vatsal Patel

  • Pharmacist
  • Odessa, TX
  • NPI 1689264822
  NPD Authorized official
• Rhonda Long

  • Pharmacist
  • Odessa, TX
  • NPI 1831073915
  NPD (past)
• Thanh Thao Thi Pham

  • Pharmacist
  • Odessa, TX
  • NPI 1609466820
  NPD (past)

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

{
    "created_epoch": "1513641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516924800000",
    "number": "1962918581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9212 LAMAR AVE",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797651452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4060 FAUDREE RD STE 101",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797658755",
            "telephone_number": "432-614-6828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DORADO RX PHARMACY,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-19",
        "last_updated": "2018-01-26",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "VATSAL",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "207-518-3235"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "31767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dorado Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dorado Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bryn Dodd, LPC
• William H Dodson, PT, DSC, OCS, CHT
• Brianna Dominguez
• Jason Roland Dominguez, PA-C
• Donald D Davenport Jr D O P a
• John H Doran, M.D.
• Daniel Paul Dorethy, LPC,LCDC,,MAC,M.ED.
• Jacquelynn Dorman, FNP
• John Kyle Dorman, MD
• Douglas Park I, LTD

• Community/Retail Pharmacy in Odessa, TX
• Providers in Odessa, 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 Jan 26, 2018; 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.