THE UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS (NPI# 1609420025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609420025 |
Entity Type | Organization |
Organization Name | THE UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS |
Practice Address |
5303 Harry Hines Blvd Suite 100 James Aston Ambulatory Care Center Dallas TX 75390-8862 |
Mailing Address |
Po Box 849928 Pharmacy Dallas TX 75284-9928 |
Practice Telephone | 2146482422 |
Practice Fax Number | 2146482652 |
Mailing Telephone | 2146482422 |
Mailing Fax Number | 2146482652 |
Enumeration Date | 2019-07-25 |
Last Update Date | 2019-07-25 |
Authorized Official Name | MARK ALAN MEYER (CFO) |
Authorized Official Telephone | 2146334804 |
Is Organization Subpart | Y |
Parent Organization Name | THE UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | DEA | BU9092165 | 01 |
TX | TSBP | 23929 | 01 |
TX | NCPDP | 4589341 | 01 |
TX | VENDOR DRUG PROGRAM | 149455 | 01 |
TX | DPS | B0138718 | 01 |
Other Name | Type Code |
---|---|
UT Southwestern Campus Pharmacy | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780214114 | The University of Texas Southwestern Medical Center At Dallas | Pharmacy | 12500 Dallas Pwky, Ste 1.200, Frisco, TX 75033 | 2020-01-24 |
1861914558 | The University of Texas Southwestern Medical Center At Dallas | Pediatrics | 7601 Preston Rd., Plano, TX 75024 | 2017-07-13 |
1275838732 | The University of Texas Southwestern Medical Center At Dallas | Physical Medicine & Rehabilitation | 470 East State Hwy 114, Southlake, TX 76092-7625 | 2011-01-14 |
1508921313 | The University of Texas Southwestern Medical Center At Dallas | Home Health | 6333 Forest Park Road, Suite Blb 304, Dallas, TX 75390-9279 | 2006-12-22 |
1497720353 | The University of Texas Southwestern Medical Center At Dallas | Clinic/Center | 5801 Forest Park Rd, Dallas, TX 75390-9183 | 2006-02-22 |
1912569583 | The University of Texas Southwestern Medical Center At Dallas | Clinic/Center | 5303 Harry Hines Blvd Fl 6, Dallas, TX 75390-7208 | 2019-07-03 |
1144752502 | The University of Texas Southwestern Medical Center At Dallas | Durable Medical Equipment & Medical Supplies | 1801 Inwood Rd, Dallas, TX 75390-9087 | 2017-04-03 |
1912226572 | The University of Texas Southwestern Medical Center At Dallas | Clinical Medical Laboratory | 5323 Harry Hines Blvd., Dallas, TX 75284-5347 | 2010-05-21 |
1245364058 | The University of Texas Southwestern Medical Center At Dallas | Surgery | 1626 W Highway 287 Business, Suite 102, Waxahachie, TX 75165-4712 | 2007-03-15 |
1750411286 | The University of Texas Southwestern Medical Center At Dallas | Family Medicine | 5323 Harry Hines Blvd, Dallas, TX 75390-7201 | 2007-03-06 |
Street Address |
5303 HARRY HINES BLVD SUITE 100 JAMES ASTON AMBULATORY CARE CENTER |
City | DALLAS |
State | TX |
Zip Code | 75390-8862 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518931104 | Henry Huntington Batjer IIi | Neurological Surgery | 5303 Harry Hines Blvd, Dallas, TX 75390-9167 | 2006-02-13 |
1922650704 | Alaina Garbens | Urology | 5303 Harry Hines Blvd, Dallas, TX 75390-7208 | 2019-07-11 |
1518453679 | Clare Newman | Physician Assistant | 5303 Harry Hines Blvd, Dallas, TX 75390-7208 | 2018-07-02 |
1205326667 | Michaela Masters Carrington | Dietitian, Registered | 5303 Harry Hines Blvd, Dallas, TX 75390-7208 | 2018-05-11 |
1235631607 | Alison Jordan | Registered Nurse | 5303 Harry Hines Blvd, Dallas, TX 75390 | 2018-03-01 |
1528589645 | Brenna Elizabeth Thomas | Audiologist | 5303 Harry Hines Blvd, 7th Floor, Suite 106, Dallas, TX 75390 | 2017-06-28 |
1366983041 | Alicia Gilmore | Dietitian, Registered | 5303 Harry Hines Blvd, Dallas, TX 75390-7208 | 2017-03-15 |
1366807349 | Megan Kobel | Audiologist | 5303 Harry Hines Blvd, Suite 106, Dallas, TX 75390-8868 | 2015-12-17 |
1750726980 | Maria Isabel Esparza | Internal Medicine | 5303 Harry Hines Blvd, Dallas, TX 75390-8857 | 2013-05-01 |
1144664749 | Elisabeth Porter Golden | Psychiatry & Neurology | 5303 Harry Hines Blvd, Dallas, TX 75390-7208 | 2013-04-25 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467075655 | Richard Mark Bresler | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd, Mc9159, Dallas, TX 75390 | 2020-05-21 |
1356970735 | Fabricio Stewan Feltrin | Student in an Organized Health Care Education/Training Program | 5323 Harry Hynes Boulevard, Dallas, TX 75390 | 2020-04-07 |
1477016467 | Seagal Raza Dauglas | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Mc9159, Dallas, TX 75390 | 2019-04-08 |
1831674340 | Adwoa Aninkorah | Nurse Practitioner | Ut Southwestern Medical Center 5151 Harry Hines Blvd, Dallas, TX 75390 | 2018-10-01 |
1194212712 | Christian Lobue | Clinical Neuropsychologist | 6333 Forest Park Road, 1st Floor, Bla 100, Dallas, TX 75390 | 2018-04-19 |
1912439720 | Linsey Lindley | Student in an Organized Health Care Education/Training Program | 5939 Harry Hines Blvd 4th Floor Suite 100, Dallas, TX 75390 | 2017-03-30 |
1043759418 | Alyssa Macchiaroli | Registered Nurse | 5323 Harry Hines Blvd Mail Code 8590, Dallas, TX 75390 | 2017-02-18 |
1609313980 | Megan Rasmussen Bollner | Physician Assistant | 5303 Harry Hines Blvd Fl 9, Dallas, TX 75390 | 2017-01-25 |
1518329168 | Danny Hsu Yang | Hospitalist | 6201 Harry Hines Blved, Dallas, TX 75390 | 2016-03-23 |
1780046532 | Omer Mirza | Hospitalist | 6201 Harry Hines Blvd Dallas, Dallas, TX 75390 | 2016-03-22 |
Find all providers in zip 75390 |
Taxonomy Code | 3336C0003X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Community/Retail Pharmacy |
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] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407475684 | Pcn Care Pllc | Pharmacy | 3201 W Saner Ave Ste 100, Dallas, TX 75233-1430 | 2020-04-08 |
1841824133 | Rite Quality Health Inc | Pharmacy | 18900 Dallas Pkwy Ste 106, Dallas, TX 75287-6916 | 2020-02-26 |
1740810852 | Chc Care Specialty Pharmacy and Consultants LLC | Pharmacy | 14211 Coit Rd Ste 1, Dallas, TX 75254-2862 | 2020-01-17 |
1770127821 | Methodist Community Pharmacy, LLC | Pharmacy | 3500 W Wheatland Rd Ste B, Dallas, TX 75237-3460 | 2019-11-01 |
1144874967 | Capsule Dallas LLC | Pharmacy | 2909 Mckinney Ave Ste A, Dallas, TX 75204-7479 | 2019-07-30 |
1346800604 | Cvs Pharmacy Inc. | Pharmacy | 7979 Belt Line Rd, Dallas, TX 75254-8129 | 2019-06-19 |
1073087375 | Medical City Pharmacy LLC | Pharmacy | 3502 Simpson Stuart Rd Ste 300, Dallas, TX 75241-4420 | 2019-01-20 |
1538633326 | Methodist Community Pharmacy, LLC | Pharmacy | 1441 N Beckley Ave Lbby B, Dallas, TX 75203-1201 | 2019-01-15 |
1700358389 | Titan Specialty Pharmacy | Pharmacy | 8360 Lbj Fwy Ste 215, Dallas, TX 75243-1222 | 2018-12-20 |
1932676301 | Nugenerex Ptx1 | Pharmacy | 2301 S Hampton Rd Ste 850, Dallas, TX 75224-1618 | 2018-10-24 |
Find all providers in DALLAS |
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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.