IBA MOLECULAR NORTH AMERICA, INC (NPI# 1780075986) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780075986 |
| Entity Type | Organization |
| Organization Name | IBA MOLECULAR NORTH AMERICA, INC |
| Practice Address |
4447 Brass Way Dallas TX 75236-2001 |
| Practice Telephone | 2143312268 |
| Practice Fax Number | 2143312450 |
| Mailing Telephone | 2143312268 |
| Mailing Fax Number | 2143312450 |
| Enumeration Date | 2015-02-10 |
| Last Update Date | 2015-02-10 |
| Authorized Official Name | JULIUS MARTIN III (PHARMACY MANAGER) |
| Authorized Official Telephone | 2143312268 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336N0007X |
Pharmacy Specialization: Nuclear Pharmacy |
PHY.006506-NR | LA | Suppliers |
| N | 3336N0007X |
Pharmacy Specialization: Nuclear Pharmacy |
99-5936 | OK | Suppliers |
| N | 3336N0007X |
Pharmacy Specialization: Nuclear Pharmacy |
22-10390 | KS | Suppliers |
| Y | 3336N0007X |
Pharmacy Specialization: Nuclear Pharmacy |
26246 | TX | Suppliers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oklahoma Business Registrations | IBA MOLECULAR NORTH AMERICA, INC. | 21000 Atlantic Blvd Ste 730, Dulles, VA 20166 |
| Massachusetts Corporations | IBA MOLECULAR NORTH AMERICA, INC. | 21000 Atlantic Blvd., #730, Dulles, VA 20166 |
| Connecticut Business Registrations | IBA MOLECULAR NORTH AMERICA, INC. | 21000 Atlantic Blvd., Suite 730, Dulles, VA 20166 |
| Street Address |
4447 BRASS WAY |
| City | DALLAS |
| State | TX |
| Zip Code | 75236-2001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225429426 | Cherryl Daigre Cordum | Pharmacist | 4447 Brass Way, Dallas, TX 75236-2001 | 2015-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952805962 | Braken Group, LLP | Clinic/Center | 6431 Rosalie Dr, Dallas, TX 75236 | 2018-03-23 |
| 1952732398 | Shauna Jones | Military Hospital | 4504 Bronzeway, Dallas, TX 75236 | 2013-12-11 |
| 1588279525 | Marquita Michelle Pickens | Nurse Practitioner | 6817 Historic Vw, Dallas, TX 75236-0109 | 2020-09-15 |
| 1295857902 | Patricia A Welborn | Physician Assistant | 5701 W Kiest Blvd, Dallas, TX 75236-1047 | 2007-04-04 |
| 1871757401 | Occupational Health Centers of The Southwest, P.a. | Clinic/Center | 5701 W Kiest Blvd, Dallas, TX 75236-1047 | 2008-07-13 |
| 1700409026 | Earl Mark Green | Counselor | 4621 Country Creek Dr Apt 1044, Dallas, TX 75236-1220 | 2020-05-20 |
| 1659517829 | Eagle Advantage Academy, Inc. | Local Education Agency (LEA) | 4011 Joseph Hardin Dr Ste F, Dallas, TX 75236-1507 | 2008-12-18 |
| 1972700995 | James Robert Auvil | Optometrist | 3911 S Walton Walker Blvd, Dallas, TX 75236-1509 | 2007-07-02 |
| 1558698068 | Aafes Optometry (kadena) | Clinic/Center | 3911 S Walton Walker Blvd, Fa-c/or, Dallas, TX 75236-1509 | 2009-11-05 |
| 1750726345 | Laura V Settlage | Registered Nurse | 5222 Whispering Oaks Dr, Dallas, TX 75236-1740 | 2013-05-08 |
| Find all providers in zip 75236 | ||||
| Taxonomy Code | 3336N0007X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Nuclear Pharmacy |
| A pharmacy dedicated to the compounding and dispensing of radioactive materials for use in nuclear imaging and nuclear medical procedures. |
| 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 |
|---|---|---|---|---|
| 1487118741 | Allen's Nutech Inc. | Pharmacy | 1301 Clinic Dr, Tyler, TX 75701-2120 | 2019-01-30 |
Please comment or provide details below to improve the information on IBA MOLECULAR NORTH AMERICA, INC.
| 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.