SHATIFF PHARMACY INC (NPI# 1992104194) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992104194 |
| Entity Type | Organization |
| Organization Name | SHATIFF PHARMACY INC |
| Other Organization Name | DFW WELLNESS PHARMACY |
| Practice Address |
2771 E Broad St Ste 219 Mansfield TX 76063-9157 |
| Practice Telephone | 8172254136 |
| Mailing Telephone | 8172254136 |
| Mailing Fax Number | 8172254138 |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2016-12-01 |
| Authorized Official Name | AI-MY THI NGUYEN (PHARMACIST IN CHARGE) |
| Authorized Official Telephone | 8172254136 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
29427 | TX | Suppliers |
| Other Name | Type Code |
|---|---|
| DFW WELLNESS PHARMACY | Doing Business As Name - Organization |
| Street Address |
2771 E BROAD ST STE 219 |
| City | MANSFIELD |
| State | TX |
| Zip Code | 76063-9157 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316558349 | Lindsey Vandyke, D.o. Pllc | Internal Medicine | 3150 E Broad Street, Ste 100, Mansfield, TX 76063 | 2020-08-13 |
| 1942819867 | Jennifer Que Chau Nguyen | Pharmacist | 980 U.S. 287 Frontage Rd #287, Mansfield, TX 76063 | 2020-07-27 |
| 1194346890 | Ana Maria Gonzalez | Dentist | 1600 Us Highway 287, Suite 102, Mansfield, TX 76063 | 2020-05-04 |
| 1245869080 | Stateserv Medical of Texas, LLC | Durable Medical Equipment & Medical Supplies | 7941 Rodeo Trail, Mansfield, TX 76063 | 2020-04-03 |
| 1649802232 | Mary Puanani Kamai | Nurse Practitioner | 1301 E. Debbie Lane, Suite 102 #1405, Mansfield, TX 76063 | 2020-02-11 |
| 1770123028 | Gladys Vera Nfodzo | Nurse Practitioner | 901 W. Broad St, Mansfield, TX 76063 | 2020-01-14 |
| 1669011300 | Alexa Smith | Nurse Practitioner | 2800 E Broad St #304, Mansfield, TX 76063 | 2019-12-28 |
| 1477190437 | Mel Rockwall LLC | Optometrist | 1701 East Broad Street, Ste 109, Mansfield, TX 76063 | 2019-12-09 |
| 1376185512 | Daniel Max & Marcandrea LLC | Optometrist | 1701 East Broad St., Ste 109, Mansfield, TX 76063 | 2019-10-09 |
| 1861046385 | Lacey Eaton | Counselor | 805 Killian Dr, Mansfield, TX 76063 | 2019-08-01 |
| Find all providers in zip 76063 | ||||
| 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 |
|---|---|---|---|---|
| 1316439748 | Ambika Pharmacy LLC | Pharmacy | 2300 Matlock Rd Ste 37, Mansfield, TX 76063-5018 | 2018-06-01 |
| 1124459870 | Melrose Pharmacy LLC | Pharmacy | 2860 Highway 157 N Ste 120, Mansfield, TX 76063-8883 | 2013-12-06 |
| 1205922457 | Coles Pharmacy | Pharmacy | 2 S Main Street, Mansfield, PA 16933-1508 | 2006-10-05 |
| 1043311509 | Pennsylvania Cvs Pharmacy, L.L.C. | Pharmacy | 197 N Main St, Mansfield, PA 16933-1311 | 2006-09-26 |
| 1467551838 | Cvs Pharmacy Inc | Pharmacy | 261 Chauncy St, Mansfield, MA 02048-1247 | 2006-09-22 |
| 1427156272 | Cvs Pharmacy Inc | Pharmacy | 2882 N Fm 157, Mansfield, TX 76063 | 2006-09-20 |
| 1245334036 | Cvs Pharmacy Inc | Pharmacy | 1100 N Walnut Creek Dr, Mansfield, TX 76063-2502 | 2006-09-12 |
| 1063515765 | Ohio Cvs Stores LLC | Pharmacy | 1411 Lexington Ave, Mansfield, OH 44907-2629 | 2006-09-07 |
| 1679588644 | Walgreen Co | Pharmacy | 750 N Walnut Creek Dr, Mansfield, TX 76063-3208 | 2006-07-29 |
| 1003867227 | Ray's Pharmacy, Inc. | Pharmacy | 1831 E Broad St, 101, Mansfield, TX 76063-9170 | 2006-05-12 |
| Find all providers in MANSFIELD | ||||
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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.