Advancecare Texas, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

ADVANCECARE TEXAS, INC.

Practice address

3818 Cedar Springs Rd Ste 104
Dallas, TX 75219-4167

Phone

(214) 624-9872

Fax

(214) 593-4374

NPI assigned

Dec 22, 2021

Organization subpart

No

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

Authorized official

Name

Tammy Freeman

Title

Contracting & Licensing Specialist

Phone

(214) 624-9872

Specialties & licenses 1

Addresses

Other names 1

• AdvanceCare Dallas Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

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

• Jaimaya Bolden

  • Pharmacist
  • Dallas, TX
  • NPI 1780283218
  NPD

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

{
    "created_epoch": "1640131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748995200000",
    "number": "1982364501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3818 CEDAR SPRINGS RD STE 104",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752194167",
            "telephone_number": "214-624-9872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3818 CEDAR SPRINGS RD STE 104",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752194167",
            "telephone_number": "214-624-9872",
            "fax_number": "214-593-4374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCECARE TEXAS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-22",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "CONTRACTING & LICENSING SPECIALIST",
        "authorized_official_telephone_number": "214-624-9872"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AdvanceCare Dallas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ifeoma Aduba, M.D
• Travis Carby Aduddell, DDS
• Sarah Aduku
• Adult Ultimate Daycare Center, Inc.
• Advance Foot Center
• Advanced Advantage Homecare Services LLC
• Advanced Care Provider, LLC
• Advanced Dallas Hospital & Clinics LLC
• Advanced Downtown Physical Therapy
• Advanced Eyecare Associates PC

• Community/Retail Pharmacy in Dallas, TX
• Providers in Dallas, 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 Jun 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.