AT HOME PHARMACY GRAND PRAIRIE LP (NPI# 1114963600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114963600 |
| Entity Type | Organization |
| Organization Name | AT HOME PHARMACY GRAND PRAIRIE LP |
| Practice Address |
4927 Lake Ridge Pkwy Ste 180 Grand Prairie TX 75052 |
| Practice Telephone | 2142399106 |
| Practice Fax Number | 2142399107 |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | GARY HASTY (OWNER CEO) |
| Authorized Official Telephone | 2149569770 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 333600000X | Pharmacy | 24380 | TX | Suppliers |
| X | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 4539485 | 01 |
| Street Address |
4927 LAKE RIDGE PKWY STE 180 |
| City | GRAND PRAIRIE |
| State | TX |
| Zip Code | 75052 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487265542 | Beyond Home Health Care LLC | Registered Nurse | 3531 Pecos Way, Grand Prairie, TX 75052 | 2020-08-12 |
| 1497370332 | Michael Cooper | Dentist | 3154 South Hwy 161 Ste 640, Grand Prairie, TX 75052 | 2020-06-16 |
| 1043835788 | Amanda Azubike | Licensed Practical Nurse | 4593 Mt Laurel Dr, Grand Prairie, TX 75052 | 2020-06-09 |
| 1457992844 | Epic West Family Dnetistry Pllc | Dentist | 3166 Sh 161, Ste 190, Grand Prairie, TX 75052 | 2019-10-07 |
| 1033777487 | National Vision Inc | Optometrist | 3166 South Highway 161, Suite 160, Grand Prairie, TX 75052 | 2019-05-31 |
| 1689136624 | Raushanah Taherrah Shareef-jefferson | Dental Hygienist | 831 Ridgecrest Rd, Grand Prairie, TX 75052 | 2019-04-01 |
| 1053812552 | Dfw Better Care Physicians, Pllc | Clinic/Center | 5204 Tx 360 #400, Grand Prairie, TX 75052 | 2018-02-21 |
| 1629586797 | Grand Prairie Marvel Dental Pllc | Clinic/Center | 5020 S Hwy 360, Suite 200, Grand Prairie, TX 75052 | 2018-01-11 |
| 1033626221 | Thad Taylor Iv Dds | Dentist | 3261 S. Carrier Pkwy., Grand Prairie, TX 75052 | 2018-01-09 |
| 1902312796 | Real Dental Pllc | Dentist | 1215 W. Pioneer Pkwy, Suite 130, Grand Prairie, TX 75052 | 2017-12-16 |
| Find all providers in zip 75052 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447633672 | Texas Health Rx | Pharmacy | 643 S Great Southwest Pkwy Ste 104, Grand Prairie, TX 75051-1056 | 2015-07-07 |
| 1093114134 | Dallas County Mental Health & Mental Retardation Center | Pharmacy | 832 S Carrier Pkwy, Attn: Pharmacy, Grand Prairie, TX 75051-0942 | 2014-08-14 |
| 1730318577 | Medstar Pharmacy Inc | Pharmacy | 200 N Carrier Pkwy Ste 112, Grand Prairie, TX 75050-5476 | 2009-07-14 |
| 1699848911 | Kroger Texas L P | Pharmacy | 313 E Pioneer Pkwy, Grand Prairie, TX 75051-4942 | 2006-11-16 |
| 1538271440 | Unlimited Pharmacy, LLC | Pharmacy | 2985 S Hwy 360, Ste 145, Grand Prairie, TX 75052 | 2006-08-31 |
| 1134158199 | Randalls Food & Drugs Lp | Pharmacy | 4215 S Carrier Pkwy, Grand Prairie, TX 75052-3203 | 2006-07-02 |
| 1619978863 | East Pointe Pharmacy Services, Inc | Pharmacy | 2100 N Hwy 360, Suite # 1001, Grand Prairie, TX 75050-1009 | 2005-08-09 |
| 1225039621 | Avatar Services, Inc | Pharmacy | 2129 S Great Southwest Pkwy, Suite # 304, Grand Prairie, TX 75051-3537 | 2005-08-09 |
| 1720357064 | Rayval, LLC | Pharmacy | 2715 Osler Dr, Grand Prairie, TX 75051-1051 | 2011-12-15 |
| 1902945579 | Harmison Pharmacies Lc | Pharmacy | 2701 Osler Dr, Ste 1, Grand Prairie, TX 75051-1064 | 2007-02-06 |
| Find all providers in GRAND PRAIRIE | ||||
| City | GRAND PRAIRIE |
| Zip Code | 75052 |
Please comment or provide details below to improve the information on AT HOME PHARMACY GRAND PRAIRIE LP.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.