PHARMACY COMPOUNDING SPECIALTIES (NPI# 1104944289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104944289 |
| Entity Type | Organization |
| Organization Name | PHARMACY COMPOUNDING SPECIALTIES |
| Practice Address |
8061 Walnut Hill Ln Suite 924 Dallas TX 75231-4331 |
| Practice Telephone | 2143278200 |
| Practice Fax Number | 2143278777 |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2007-09-12 |
| Authorized Official Name | JAMES PORTER (STORE MANAGER) |
| Authorized Official Telephone | 2143278200 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers | ||
| Y | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
21510 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 4522428 | 01 | |
| OTHER ID NUMBER | 4522428 | 01 |
| Street Address |
8061 WALNUT HILL LN SUITE 924 |
| City | DALLAS |
| State | TX |
| Zip Code | 75231-4331 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659987022 | Specialists In Geriatric and Palliative Care Medicine Pllc | Clinic/Center | 8198 Walnut Hill Lane, Jackson Bldg, Suite 100, Dallas, TX 75231 | 2020-09-21 |
| 1013546118 | The Legacy Midtown Park, Inc | Skilled Nursing Facility | 8280 Manderville Lane, Dallas, TX 75231 | 2020-04-02 |
| 1003383373 | Northeast Dallas Dentistry, PC | Dentist | 6401 East Northwest Highway, Suite 100, Dallas, TX 75231 | 2018-10-25 |
| 1518442565 | Daniel Max & Marc Andrea LLC | Optometrist | 6471 E Northwest Hwy, Dallas, TX 75231 | 2018-09-26 |
| 1760964100 | Amber Nicole Caruthers | Nurse Practitioner | 8060 Park Lane, Dallas, TX 75231 | 2018-09-01 |
| 1376024893 | Brittany Leigh Stedman | Physical Therapist | 8130 Meadow Rd, Dallas, TX 75231 | 2018-08-23 |
| 1700367224 | Tia Cornelius | Occupational Therapy Assistant | 8130 Meadow Rd., Dallas, TX 75231 | 2018-08-23 |
| 1538653753 | Manju R. Goyal M.d. Psychiatry Pllc | Psychiatry & Neurology | 5477 Glen Lakes Dr Ste 210, Dallas, TX 75231 | 2018-06-20 |
| 1497246813 | Stacy Jo Thomas | Counselor | 10260 N Central Expy Ste 280, Dallas, TX 75231 | 2018-05-21 |
| 1235626615 | Texas Health Presbyterian Hospital Dallas | Durable Medical Equipment & Medical Supplies | 8160 Walnut Hill Lane, First Floor, Dallas, TX 75231 | 2018-04-20 |
| Find all providers in zip 75231 | ||||
| Taxonomy Code | 3336C0004X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Compounding Pharmacy |
| A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner’s Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice. |
| Notes: Sources: NABP Model Practice Act, Appendix C - Good Compounding Practice, USP <795> and <797>, and Pharmacy Compounding Accreditation Board [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346742376 | Bond Pharmacy Inc | Pharmacy | 18451 Dallas Pkwy Ste 125, Dallas, TX 75287-5202 | 2018-03-06 |
| 1225553290 | Mesquite Care Pharmacy Inc. | Pharmacy | 5409 N Jim Miller Rd Ste 217, Dallas, TX 75227-1523 | 2017-08-10 |
| 1740667898 | Maplewood Pharmacy | Pharmacy | 2515 Inwood Rd Ste 107, Dallas, TX 75235-7400 | 2015-04-28 |
| 1366843948 | Specialty Scripts, Inc. | Pharmacy | 4901 Lyndon B Johnson Fwy, Ste 100, Dallas, TX 75244-6158 | 2014-09-15 |
| 1124430202 | Popharmacy LLC | Pharmacy | 17300 Dallas Pkwy, Suite 1080a, Dallas, TX 75248-1145 | 2014-05-23 |
| 1538591375 | Buckeye Pharmacy | Pharmacy | 1401 S Buckner Blvd Ste 127, Dallas, TX 75217-1944 | 2013-08-04 |
| 1114266889 | American Custom Compounding Pharmacy | Pharmacy | 2607 Walnut Hill Ln, Suite 220, Dallas, TX 75229-5638 | 2013-01-31 |
| 1356618227 | Palakritu Enterprise Inc | Pharmacy | 2480 W Illinois Ave, Dallas, TX 75233-1106 | 2011-11-21 |
| 1851694384 | Marks Pharmacy Incorporated | Pharmacy | 8150 Brookriver Dr Ste 107, Dallas, TX 75247-4068 | 2010-12-06 |
| 1598865800 | Executive Healthcare | Pharmacy | 6303 Forest Park Rd, Ste A 255, Dallas, TX 75235-5450 | 2006-09-25 |
| 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.