Active NPI
Dallas Prescription Shop, LLC
- Long Term Care Pharmacy
- Dallas, GA
National Provider Identifier
1972331205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- DALLAS PRESCRIPTION SHOP, LLC
- Practice address
- 537 Hardee St
Dallas, GA 30132-4711 - Phone
- (770) 505-0255
- Fax
- (770) 505-2155
- NPI assigned
- Jul 26, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John Thomas Sherrer Jr., PHARM.D.
- Title
- Owner
- Phone
- (404) 317-0303
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | |||
| Long Term Care Pharmacy | 3336L0003X | Primary |
Addresses
Primary practice location
537 Hardee St
Dallas, GA 30132-4711
Mailing address
537 Hardee St
Dallas, GA 30132-4711
Phone (770) 505-0255
National Provider Directory
National Provider Directory- Tax ID family
- Dallas Prescription Shop
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Dallas, GA
- NPI 1992378525
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Dallas, GA
- NPI 1750971131
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721952000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1721952000000",
"number": "1972331205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "537 HARDEE ST",
"city": "DALLAS",
"state": "GA",
"postal_code": "301324711",
"telephone_number": "770-505-0255",
"fax_number": "770-505-2155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "537 HARDEE ST",
"city": "DALLAS",
"state": "GA",
"postal_code": "301324711",
"telephone_number": "770-505-0255",
"fax_number": "770-505-2155"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DALLAS PRESCRIPTION SHOP, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-26",
"last_updated": "2024-07-26",
"certification_date": "2024-07-26",
"status": "A",
"authorized_official_last_name": "SHERRER",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "THOMAS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "404-317-0303",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "PHARM.D."
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.