FIESTA PHARMACY (NPI# 1730283706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730283706 |
| Entity Type | Organization |
| Organization Name | FIESTA PHARMACY |
| Other Organization Name | BUCKNER VILLAGE PHARMACY |
| Practice Address |
2947 S Buckner Blvd Ste 500 Dallas TX 75227-6952 |
| Mailing Address |
2947 S Buckner Blvd Suite #500 Dallas TX 75227-6952 |
| Practice Telephone | 2142758066 |
| Practice Fax Number | 2142757796 |
| Mailing Telephone | 2142758066 |
| Mailing Fax Number | 2142757796 |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2015-10-20 |
| Authorized Official Name | ELIAS OKONKWO (OWNER) |
| Authorized Official Telephone | 2142758066 |
| Authorized Official Credential | R.PH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
23914 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2099573 | 01 | |
| TX | 145505 | 05 |
| Other Name | Type Code |
|---|---|
| BUCKNER VILLAGE PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083836613 | Fiesta Pharmacy | Pharmacist | 2947 S Buckner Suite 500, Dallas, TX 75227 | 2007-05-03 |
| 1891837720 | Fiesta Pharmacy | Pharmacist | 6190 Lyndon B Johnson Fwy, Suite #600, Dallas, TX 75240-6344 | 2007-02-14 |
| Street Address |
2947 S BUCKNER BLVD STE 500 |
| City | DALLAS |
| State | TX |
| Zip Code | 75227-6952 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558884742 | Blake Walker Richard | Dentist | 2947 S Buckner Blvd, Dallas, TX 75227-6952 | 2017-07-19 |
| 1033561774 | Henry J Lu | Dentist | 2947 S Buckner Blvd, Suite 100, Dallas, TX 75227-6952 | 2016-07-06 |
| 1578939773 | Eunice Kahng | Dentist | 2947 S Buckner Blvd, Suite 100, Dallas, TX 75227-6952 | 2015-08-11 |
| 1639424286 | Jasper O Ileka | Pharmacist | 2947 S Buckner Blvd, #500, Dallas, TX 75227-6952 | 2012-07-19 |
| 1942585658 | Angie Y Kim | Dentist | 2947 S Buckner Blvd, Suite 100, Dallas, TX 75227-6952 | 2011-10-13 |
| 1013202498 | Jeremy Simmons | Dentist | 2947 S Buckner Blvd, Suite 100, Dallas, TX 75227-6952 | 2011-06-14 |
| 1285815597 | Scott S. Greeson | Dentist | 2947 S Buckner Blvd, Ste. 100, Dallas, TX 75227-6952 | 2007-11-15 |
| 1477619328 | William Haliey Dunklin IIi | Dentist | 2947 S Buckner Blvd, Suite 100, Dallas, TX 75227-6952 | 2006-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760855464 | Narges S Afkami | Chiropractor | 4808 S. Buckner Blvd., Dallas, TX 75227 | 2015-11-04 |
| 1780902809 | Zachary Thomas Ripp | Obstetrics & Gynecology | 2959 S. Buckner Ste 100, Mi Doctor/ Women's Specialty Center, Dallas, TX 75227 | 2010-05-13 |
| 1386884922 | Valentino L Gonzales | Counselor | 5409 Jim Miller Rd, Suite 203a, Dallas, TX 75227 | 2009-02-23 |
| 1093951733 | Kofo A Aderemi | Durable Medical Equipment & Medical Supplies | 4617 S. Buckner Blvd., Suite J, Dallas, TX 75227 | 2008-12-31 |
| 1619146727 | Faith Assisted Living, LLC | Assisted Living Facility | 2155 Gaylord Dr, Dallas, TX 75227 | 2008-02-22 |
| 1619159241 | Epic Business Solutions | Durable Medical Equipment & Medical Supplies | 4801 South Buckner Blvd., Suite 1300, Dallas, TX 75227 | 2007-12-05 |
| 1356553838 | Cox Adult Foster Home | Custodial Care Facility | 8717 Blossom Lane, Dallas, TX 75227 | 2007-05-04 |
| 1386866903 | Injury Assistance C Enters, Inc. | Chiropractor | 2514 S. Buckner Blvd., Dallas, TX 75227 | 2007-05-03 |
| 1083836613 | Fiesta Pharmacy | Pharmacist | 2947 S Buckner Suite 500, Dallas, TX 75227 | 2007-05-03 |
| 1720164346 | Joe R Gosham | Dentist | 2222 Prairie Creek Rd, Dallas, TX 75227 | 2006-10-27 |
| Find all providers in zip 75227 | ||||
| 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.