Organization Active NPI

Medfront LLC

Doing business as MedFront Long Term Care Pharmacy

  • Long Term Care Pharmacy
  • Dallas, TX
National Provider Identifier
1982389748
Registry record updated Jun 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
MEDFRONT LLC
Doing business as
MedFront Long Term Care Pharmacy
Practice address
4041 W Wheatland Rd Ste 204
Dallas, TX 75237-4061
Phone
(972) 709-2190
NPI assigned
Jun 20, 2023
Last updated
Jun 20, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
MEDFRONT LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 20, 2023

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

Authorized official

Name
Olamide T Makinde
Title
Manager
Phone
(972) 709-2190

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X NU Primary

Addresses

Primary practice location

4041 W Wheatland Rd Ste 204
Dallas, TX 75237-4061

Mailing address

4041 W Wheatland Rd Ste 204
Dallas, TX 75237-4061

Other names 1

  • MedFront Long Term Care Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Medfront LLC2 organizations share this tax ID, including this one
Part of
Medfront LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1687219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687219200000",
    "number": "1982389748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4041 W WHEATLAND RD STE 204",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752374061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4041 W WHEATLAND RD STE 204",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752374061",
            "telephone_number": "972-709-2190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDFRONT LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDFRONT LLC",
        "enumeration_date": "2023-06-20",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-08",
        "status": "A",
        "authorized_official_last_name": "MAKINDE",
        "authorized_official_first_name": "OLAMIDE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "972-709-2190"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MedFront Long Term Care Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 20, 2023; 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.