MARTIN LUTHER KING JR FAMILY CLINIC (NPI# 1134366289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134366289 |
| Entity Type | Organization |
| Organization Name | MARTIN LUTHER KING JR FAMILY CLINIC |
| Practice Address |
2922 Martin Luther King Jr Blvd B Dallas TX 75215-2321 |
| Mailing Address |
Po Box 150128 Dallas TX 75315-0128 |
| Practice Telephone | 2144263645 |
| Practice Fax Number | 2144266813 |
| Mailing Telephone | 2144263645 |
| Mailing Fax Number | 2144266813 |
| Enumeration Date | 2009-01-12 |
| Last Update Date | 2012-07-02 |
| Authorized Official Name | MRS. JOYCE TAPLEY (CEO) |
| Authorized Official Telephone | 2144263645 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
11893 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 130713404 | 05 | |
| NCPDP PROVIDER ID | 4576229 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841288602 | Martin Luther King Jr Family Clinic | Public Health or Welfare | 2922-b Martin Luther King Jr Blvd, Dallas, TX 75215-2471 | 2005-10-06 |
| 1851492557 | Martin Luther King Jr Family Clinic | Clinic/Center | 2922 Martin Luther King Jr Blvd, Building B, Dallas, TX 75215-2321 | 2006-09-26 |
| Street Address |
2922 MARTIN LUTHER KING JR BLVD B |
| City | DALLAS |
| State | TX |
| Zip Code | 75215-2321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467475582 | James Yarmchuk | Family Medicine | 2922 Martin Luther King Jr Blvd, B, Dallas, TX 75215 | 2006-07-26 |
| 1609201821 | Brittnee Siere Berry | Case Manager/Care Coordinator | 2922 Martin Luther King Jr Blvd, Building B, Dallas, TX 75215-2321 | 2013-09-06 |
| 1780823336 | Humaa Majeed Bhatti | Pediatrics | 2922 Martin Luther King Jr Blvd, Building B, Dallas, TX 75215-2321 | 2009-02-05 |
| 1265563837 | Walter Barton | Counselor | 2922 Martin Luther King Jr Blvd, Dallas, TX 75215-2321 | 2007-03-08 |
| 1851492557 | Martin Luther King Jr Family Clinic | Clinic/Center | 2922 Martin Luther King Jr Blvd, Building B, Dallas, TX 75215-2321 | 2006-09-26 |
| 1982702106 | William Henry Glaze Sr. | Specialist | 2922 Martin Luther King Jr Blvd, Dallas, TX 75215-2321 | 2006-09-20 |
| 1811094493 | Ellen Therese Malloy | Nurse Practitioner | 2922 Martin Luther King Jr Blvd, Building B, Dallas, TX 75215-2321 | 2006-09-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184245201 | Ursula Liliana Barrreto | Behavior Technician | 1999 Scott St, Suite 900, Dallas, TX 75215 | 2020-04-29 |
| 1811546278 | Nereca Carol Jones | Technician | 5011 Colonial Avenue, Dallas, TX 75215 | 2019-09-09 |
| 1356826838 | Sa Foundation for Humanity Inc | Dentist | 1100 S. Arkard Street, Suite 180, Dallas, TX 75215 | 2018-10-01 |
| 1043710049 | Lawanda Shed | Registered Nurse | 2622 Hatcher St, Dallas, TX 75215 | 2018-02-15 |
| 1598205973 | Royond Patrick-hendrix | Psychologist | 1409 S Lamar St Apt 307, Dallas, TX 75215 | 2017-03-03 |
| 1760830566 | Medchiro Injury Rehab LLC | Chiropractor | 1619 Martin Luther King Jr Blvd, Dallas, TX 75215 | 2016-06-02 |
| 1245580315 | Irfan Jadavji | Family Medicine | 2922-b Martin Luther King, Jr. Blvd, Dallas, TX 75215 | 2012-09-14 |
| 1982904165 | Malcolm X Pediatric Clinic | Clinic/Center | 4432 Malcolm X Blvd., Dallas, TX 75215 | 2010-10-22 |
| 1750693669 | Lyric Dion Day | Registered Nurse | 2922 Martin Luther King Jr Blvd #124, Dallas, TX 75215 | 2010-07-08 |
| 1477759272 | Shang's Garden, Inc | Assisted Living Facility | 2617 Birmingham, Dallas, TX 75215 | 2007-06-27 |
| Find all providers in zip 75215 | ||||
| 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 |
| 1154544690 | Dallas County Hospital District | Pharmacy | 1936 Amelia Ct, Dallas, TX 75235-7706 | 2007-04-11 |
| Find all providers in DALLAS | ||||
Please comment or provide details below to improve the information on MARTIN LUTHER KING JR FAMILY CLINIC.
| 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.