PLANO MEDICAL PLAZA PHARMACY LLC


Address: 2771 W Fm 544 Ste 102, Wylie, TX 75098-7061
Phone: 4698080047

PLANO MEDICAL PLAZA PHARMACY LLC (NPI# 1174189468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174189468
Entity Type Organization
Organization Name PLANO MEDICAL PLAZA PHARMACY LLC
Other Organization Name PRORX
Practice Address 2771 W Fm 544 Ste 102
Wylie
TX 75098-7061
Practice Telephone 4698080047
Mailing Telephone 4698080047
Enumeration Date 2019-05-13
Last Update Date 2019-11-08
Authorized Official Name MR. JASON TRAN (MANAGER)
Authorized Official Telephone 4698080047
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
TX DRIVER'S LICENSE 14609840 01

Other Provider/Organization Names

Other Name Type Code
PRORX Doing Business As Name - Organization
ProRX Pharmacy Doing Business As Name - Organization

Office Location

Street Address 2771 W FM 544 STE 102
City WYLIE
State TX
Zip Code 75098-7061

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1396215620 Lilian Abagwe Nurse Practitioner 1108 Ann Dr, Wylie, Wylie, TX 75098 2018-11-29
1114408507 Stephen Clayton Heath Occupational Therapy Assistant 721 Tx-78, Wylie, TX 75098 2018-08-24
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Taxonomy Information

Taxonomy Code 3336C0003X
Grouping Suppliers
Classification Pharmacy
Specialization Community/Retail Pharmacy

Taxonomy Definition

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
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: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073036570 Kb Pharmacy LLC Pharmacy 2005 Jayden Ln, Wylie, TX 75098-6031 2017-07-18
1225479819 Wylie Pharmacy LLC Pharmacy 430 S Highway 78 Ste 160, Wylie, TX 75098-3974 2013-07-11
1699879411 Cvs Pharmacy Inc Pharmacy 750 W Kirby St, Wylie, TX 75098-3913 2006-09-12
1396343588 Helios Pharmacy LLC Pharmacy 430 S Highway 78 Ste 160, Wylie, TX 75098-3974 2020-10-12
1093285843 Mrc Health, LLC Pharmacy 2300 W Fm 544 Ste 130, Wylie, TX 75098-4903 2018-12-04
1639681315 Fc Pharmacy LLC Pharmacy 430 S Highway 78 Ste 160, Wylie, TX 75098-3974 2017-11-02

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Competitor

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City WYLIE
Zip Code 75098

Improve Information

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Dataset Information

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.

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