BRANDY PHARMACY CORP (NPI# 1194261024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194261024 |
| Entity Type | Organization |
| Organization Name | BRANDY PHARMACY CORP |
| Other Organization Name | BRANDY PHARMACY 2 |
| Practice Address |
910 N Galloway Ave Ste 303 Mesquite TX 75149-2409 |
| Mailing Address |
Po Box 851766 Mesquite TX 75185-1766 |
| Practice Telephone | 9727739001 |
| Practice Fax Number | 9727739584 |
| Mailing Telephone | 9727739001 |
| Mailing Fax Number | 9727739584 |
| Enumeration Date | 2017-01-17 |
| Last Update Date | 2019-11-27 |
| Authorized Official Name | NEDAL NASER (OWNER, AO) |
| Authorized Official Telephone | 9727739001 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
31336 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2167300 | 01 |
| Other Name | Type Code |
|---|---|
| Brandy Pharmacy 2 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497231328 | Brandy Pharmacy Corp | Pharmacy | 910 N Galloway Ave Ste 102-a, Mesquite, TX 75149-2409 | 2018-07-13 |
| 1902276231 | Brandy Pharmacy Corp | Pharmacy | 2241 Peggy Ln Ste B, Garland, TX 75042-5709 | 2015-09-29 |
| Street Address |
910 N GALLOWAY AVE STE 303 |
| City | MESQUITE |
| State | TX |
| Zip Code | 75149-2409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891340642 | Michael Ryan Tong | Pharmacist | 300 West Kearney, Mesquite, TX 75149 | 2019-08-08 |
| 1720548118 | Life Specialty Pharmacy, Inc. | Pharmacy | 949 W. Kearney St., Suite 107, Mesquite, TX 75149 | 2019-03-21 |
| 1851857304 | Foursquare Texas 16 LLC | Skilled Nursing Facility | 750 Highway 352, Mesquite, TX 75149 | 2019-02-20 |
| 1629561477 | Christina Yvette Smith | Nurse Practitioner | 1336 N Galloway Ave Ste 124, Mesquite, TX 75149 | 2018-06-07 |
| 1356844484 | D&b Dentistry, Pllc | Clinic/Center | 5550 South Buckner Blvd., Ste 270, Mesquite, TX 75149 | 2018-03-15 |
| 1811426216 | Higher Ground Services LLC | In Home Supportive Care | 624 Yosemite Trail, Mesquite, TX 75149 | 2017-06-08 |
| 1275067977 | Wal-mart Stores Texas, LLC | Durable Medical Equipment & Medical Supplies | 1951 Military Parkway, Mesquite, TX 75149 | 2017-04-19 |
| 1922530591 | Johnny Staton | Physician Assistant | 1208 Paintbrush St, Mesquite, TX 75149 | 2017-04-01 |
| 1811432115 | Fastpass Ucm, Pllc | Emergency Medicine | 1080 E Cartwright Rd, Suite 120, Mesquite, TX 75149 | 2016-12-22 |
| 1508309170 | Code 3 Emergency Partners At Mesquite, LLC | Clinic/Center | 1080 E Cartwright Rd Ste 100, Mesquite, TX 75149 | 2016-11-29 |
| Find all providers in zip 75149 | ||||
| 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 |
|---|---|---|---|---|
| 1780217158 | Prime Healthcare Services Mesquite LLC | Pharmacy | 1011 N Galloway Ave # Cl120, Mesquite, TX 75149-2433 | 2020-02-13 |
| 1720548118 | Life Specialty Pharmacy, Inc. | Pharmacy | 949 W. Kearney St., Suite 107, Mesquite, TX 75149 | 2019-03-21 |
| 1104330059 | Pinnacle Absolute Care | Pharmacy | 114 N. Sandhill Blvd, Suite B, Mesquite, NV 89027 | 2017-11-29 |
| 1477819266 | Prodigious Industries LLC | Pharmacy | 502 W Kearney St Ste 900, Mesquite, TX 75149-3477 | 2012-04-05 |
| 1134412000 | Meridian Pharamcy Group At Galloway, Inc | Pharmacy | 2698 N Galloway Ave Ste 108, Mesquite, TX 75150-6390 | 2011-05-25 |
| 1356427819 | Rls Supermarkets LLC | Pharmacy | 4414 Gus Thomasson Rd, Mesquite, TX 75150-2232 | 2006-10-27 |
| 1477657278 | Cvs Pharmacy Inc | Pharmacy | 500 N Galloway Ave, Suite 2, Mesquite, TX 75149-3419 | 2006-09-12 |
| 1558376582 | Walgreen Co | Pharmacy | 4435 Gus Thomasson Rd, Mesquite, TX 75150-2231 | 2006-07-29 |
| 1083099485 | Paragon Specialty Pharmacy, LLC | Pharmacy | 2920 Motley Dr, Suite 800, Mesquite, TX 75150 | 2015-07-27 |
| 1871870204 | My Pharmacy | Pharmacy | 2920 Motley Dr, Suite 200, Mesquite, TX 75150-3471 | 2011-11-14 |
| Find all providers in MESQUITE | ||||
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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.