340B PARTNERS PHARMACY - DALLAS LLC (NPI# 1801494018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801494018 |
| Entity Type | Organization |
| Organization Name | 340B PARTNERS PHARMACY - DALLAS LLC |
| Practice Address |
2800 S Ih 35 Frontage Rd Suite 105 Austin TX 78704 |
| Mailing Address |
10604 Coursey Blvd Baton Rouge LA 70816-4015 |
| Practice Telephone | 5122134030 |
| Mailing Telephone | 2252361541 |
| Enumeration Date | 2020-10-12 |
| Last Update Date | 2020-10-12 |
| Authorized Official Name | ASHLEY ELLIS (CORPORATE COUNSEL) |
| Authorized Official Telephone | 8032545884 |
| Is Organization Subpart | Y |
| Parent Organization Name | AVITA DRUGS, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| Other Name | Type Code |
|---|---|
| Avita Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962784900 | 340b Partners Pharmacy - Dallas LLC | Pharmacy | 750 Fort Worth Ave Ste H100, Dallas, TX 75208-1811 | 2011-09-15 |
| 1790014124 | 340b Partners Pharmacy - Dallas LLC | Pharmacy | 2924 Oak Lawn Ave, Dallas, TX 75219-4131 | 2009-12-14 |
| Street Address |
2800 S IH 35 FRONTAGE RD SUITE 105 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740802206 | Roots, Aba Therapy and Consulting Services LLC | Behavioral Analyst | 3715 S. 1st St, #464, Austin, TX 78704 | 2020-05-07 |
| 1447896071 | Stefanie Van Hoose Mott | Nurse Practitioner | 2800 South Ih 35 Frontage Road #100, Austin, TX 78704 | 2019-11-19 |
| 1902463219 | Melanie Rabalais Lpc, Pllc | Counselor | 3111 Dickson Dr, Suite 33, Austin, TX 78704 | 2019-05-22 |
| 1023590866 | Roberto Carlos Guerra | Physical Therapy Assistant | 2515 S Ih 35, Ste 320, Austin, TX 78704 | 2018-08-29 |
| 1750875118 | Kristen Gabrielle Ferrante | Dentist | 2330 S Lamar Blvd, Austin, TX 78704 | 2018-06-19 |
| 1366944555 | Beryl Hoelscher | Registered Nurse | 706 W Ben White Blvd Ste 233a, Austin, TX 78704 | 2018-03-02 |
| 1780103861 | Remedy Pediatrics Pllc | Pediatrics | 2512 South Interstate 35 Frontage Rd., Suite 310, Austin, TX 78704 | 2017-09-11 |
| 1285176172 | Leah Nichole Burandt | Physician Assistant | 2512 S Interstate 35 Ste 310, Austin, TX 78704 | 2016-11-09 |
| 1659822690 | Kristin Jarrett | Physical Therapist | 1524 S I-35, Suite 300, Austin, TX 78704 | 2016-10-14 |
| 1689129587 | Lynh Warnken | Pharmacist | 1509 S Lamar Blvd Ste 550, Austin, TX 78704 | 2016-08-20 |
| Find all providers in zip 78704 | ||||
| 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 |
|---|---|---|---|---|
| 1942817911 | Vivent Pharmacy LLC | Pharmacy | 7215 Cameron Rd Ste B, Austin, TX 78752-2911 | 2020-09-24 |
| 1649885195 | Rocket Pharmacy, Inc. | Pharmacy | 316 W 12th St Ste Ll050, Austin, TX 78701-1815 | 2020-09-11 |
| 1831737642 | Cvs Pharmacy, Inc | Pharmacy | 901 East 5 Th St, Suite 140, Austin, TX 78702-4071 | 2019-12-12 |
| 1972149680 | Capsule Austin LLC | Pharmacy | 210 W 7th St Ste B, Austin, TX 78701-2903 | 2019-11-18 |
| 1427617570 | Shubha LLC | Pharmacy | 1139 W Braker Ln Ste 102, Austin, TX 78758-4113 | 2019-06-12 |
| 1467921668 | Clearview Specialty LLC | Pharmacy | 8101 Cameron Rd Ste 303, Austin, TX 78754-3818 | 2018-11-16 |
| 1639679319 | Randall Legacy Inc | Pharmacy | 8825 Bee Caves Rd Ste A, Austin, TX 78746-4720 | 2018-02-19 |
| 1356863898 | Raiine's Specialty Pharmacy LLC | Pharmacy | 1301 W 38th St Ste 135, Austin, TX 78705-1033 | 2017-07-15 |
| 1811364078 | Peoples Pharmacy | Pharmacy | 5505 W. Parmer Lane, Building 4, At Apple Wellness Center, Austin, TX 78727 | 2015-08-24 |
| 1003216607 | Volunteer Healthcare Clinic | Pharmacy | 4215 Medical Pkwy, Austin, TX 78756-3309 | 2014-09-02 |
| Find all providers in AUSTIN | ||||
Please comment or provide details below to improve the information on 340B PARTNERS PHARMACY - DALLAS LLC.
| 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.