DALLAS COUNTY MENTAL HEALTH & MENTAL RETARDATION CENTER (NPI# 1821185026) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821185026 |
| Entity Type | Organization |
| Organization Name | DALLAS COUNTY MENTAL HEALTH & MENTAL RETARDATION CENTER |
| Other Organization Name | DALLAS MENTAL HEALTH CLINIC |
| Practice Address |
4645 Samuell Blvd Ste 107 Dallas TX 75228-6826 |
| Practice Telephone | 2142757393 |
| Practice Fax Number | 2143811480 |
| Mailing Telephone | 2142757393 |
| Mailing Fax Number | 2143811480 |
| Enumeration Date | 2006-10-07 |
| Last Update Date | 2017-02-22 |
| Authorized Official Name | MARK EDERY (DIRECTOR) |
| Authorized Official Telephone | 2147436180 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
6403 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2099861 | 01 |
| Other Name | Type Code |
|---|---|
| DALLAS MENTAL HEALTH CLINIC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861866568 | Dallas County Mental Health & Mental Retardation Center | Pharmacy | 5372 Fredericksburg Rd Ste 110, San Antonio, TX 78229-3559 | 2015-11-18 |
| 1023410024 | Dallas County Mental Health & Mental Retardation Center | Pharmacy | 16160 Midway Rd Ste 200, Attn: Pharmacy, Addison, TX 75001-4202 | 2014-09-22 |
| 1093114134 | Dallas County Mental Health & Mental Retardation Center | Pharmacy | 832 S Carrier Pkwy, Attn: Pharmacy, Grand Prairie, TX 75051-0942 | 2014-08-14 |
| 1932389038 | Dallas County Mental Health & Mental Retardation Center | Pharmacy | 7304 Alma Dr, Plano, TX 75025-3563 | 2007-11-07 |
| 1023239886 | Dallas County Mental Health & Mental Retardation Center | Clinic/Center | 1345 River Bend Dr Ste 200, Dallas, TX 75247-6945 | 2007-05-01 |
| 1366539272 | Dallas County Mental Health & Mental Retardation Center | Pharmacy | 2600 N Stemmons Fwy Ste 151, Dallas, TX 75207-2111 | 2006-10-10 |
| 1407243306 | Dallas County Mental Health & Mental Retardation Center | Pharmacy | 9708 Skillman St, Dallas, TX 75243-5150 | 2015-04-20 |
| 1932594272 | Dallas County Mental Health & Mental Retardation Center | Pharmacy | 4200 Stuart St, Attn: Pharmacy Dept., Greenville, TX 75401-5759 | 2015-04-03 |
| 1912094111 | Dallas County Mental Health & Mental Retardation Center | Pharmacy | 3330 S Lancaster Rd, Dallas, TX 75216-4531 | 2006-10-07 |
| 1104910413 | Dallas County Mental Health & Mental Retardation Center | Pharmacy | 1350 N Westmoreland Rd, Dallas, TX 75211-1654 | 2006-10-03 |
| Street Address |
4645 SAMUELL BLVD STE 107 |
| City | DALLAS |
| State | TX |
| Zip Code | 75228-6826 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437625092 | Le Reve Rehab & Mc LLC | Skilled Nursing Facility | 3309 Dilido Road, Dallas, TX 75228 | 2018-10-22 |
| 1083905053 | R2j Investments LLC | Pharmacy | 6300 Samual Blvd, Ste #118, Dallas, TX 75228 | 2011-04-26 |
| 1376709493 | Rupen Suresh Amin | Family Medicine | 2360 Gus Thomasson Rd, Dallas, TX 75228 | 2008-07-29 |
| 1356512453 | Affirm Healthcare, LLC | Home Health | 10950 Woodmeadow Pkwy, #223, Dallas, TN 75228 | 2008-03-17 |
| 1629280110 | Shining Star Home Health Care Inc | Home Health | 8344 East R L Thronton Fwy, Ste # 203, Dallas, TX 75228 | 2007-05-04 |
| 1922123728 | Federico Maese | Family Medicine | 12601 E. Northwest Hwy, Dallas, TX 75228 | 2007-03-20 |
| 1578602223 | Rob F Smith | Social Worker | 8035 East R L Thornton Freeway, Suite #503, Dallas, TX 75228 | 2007-02-06 |
| 1710037023 | Candace Freeman Mcdaniel | Family Medicine | 8021 East R. L. Thornton Frwy, Suite A, Dallas, TX 75228 | 2007-01-11 |
| 1841376175 | Dana Ray Scott | Dentist | 2335 Gus Thomasson, Dallas, TX 75228 | 2006-10-30 |
| 1255425625 | Optimal Home Health Inc | Home Health | 8344 E R L Thornton Fwy Ste 214, Dallas, TX 75228 | 2006-10-03 |
| Find all providers in zip 75228 | ||||
| Taxonomy Code | 3336C0002X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Clinic Pharmacy |
| A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
| 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 |
|---|---|---|---|---|
| 1376971499 | Planned Parenthood of Greater Texas | Pharmacy | 9100 N Central Expy # 169, Dallas, TX 75231-5922 | 2013-10-29 |
| 1245579143 | I.d. Doctors Pharmacy | Pharmacy | 1 Medical Pkwy Ste 210, Dallas, TX 75234-7863 | 2013-02-12 |
| 1891047700 | Familia Care Inc | Pharmacy | 9753 Webb Chapel Rd Ste 900, Dallas, TX 75220-3513 | 2012-10-03 |
| 1366539272 | Dallas County Mental Health & Mental Retardation Center | Pharmacy | 2600 N Stemmons Fwy Ste 151, Dallas, TX 75207-2111 | 2006-10-10 |
| 1831592393 | Forest Drug Store LLC | Pharmacy | 9550 Forest Ln, Suite 606, Dallas, TX 75243-5905 | 2014-09-29 |
| 1013345156 | Familia Care | Pharmacy | 3201 W Saner Ave, Dallas, TX 75233-1430 | 2013-10-29 |
| 1821426974 | Familia Care Inc | Pharmacy | 6751 Abrams Rd, Suite 108, Dallas, TX 75231-0210 | 2013-10-29 |
| 1740618891 | Familia Care Inc | Pharmacy | 4438 W Jefferson Blvd, Dallas, TX 75211-4623 | 2013-10-29 |
| 1780936674 | Familia Care Inc | Pharmacy | 8112 Spring Valley Rd, Dallas, TX 75240-3829 | 2012-10-03 |
| 1134366289 | Martin Luther King Jr Family Clinic | Pharmacy | 2922 Martin Luther King Jr Blvd, B, Dallas, TX 75215-2321 | 2009-01-12 |
| Find all providers in DALLAS | ||||
Please comment or provide details below to improve the information on DALLAS COUNTY MENTAL HEALTH & MENTAL RETARDATION CENTER.
| 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.