DR. MATTHEW T VILLAVASSO (NPI# 1295023687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295023687 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW T VILLAVASSO |
| Credential | PHARMD, RPH |
| Practice Address |
5101 S Lancaster Rd Dallas TX 75241-1328 |
| Practice Telephone | 2143757103 |
| Mailing Telephone | 2143757103 |
| Enumeration Date | 2011-07-19 |
| Last Update Date | 2020-08-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 53768 | TX | Pharmacy Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4550 General Meyer Ave, New Orleans, LA 701313531 | 5043610281 |
| Street Address |
5101 S LANCASTER RD |
| City | DALLAS |
| State | TX |
| Zip Code | 75241-1328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902811938 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 5101 S Lancaster Rd, Dallas, TX 75241-1328 | 2006-07-29 |
| 1992173587 | Trena Harrison | Pharmacist | 5101 S Lancaster Rd, Dallas, TX 75241-1328 | 2015-09-13 |
| 1285001602 | Brittany Lea Henderson | Pharmacist | 5101 S Lancaster Rd, Dallas, TX 75241-1328 | 2015-09-02 |
| 1356678627 | Byron Singleton | Pharmacist | 5101 S Lancaster Rd, Dallas, TX 75241-1328 | 2009-11-06 |
| 1225365547 | Jarryn L Cleaves | Pharmacist | 5101 S Lancaster Rd, Dallas, TX 75241-1328 | 2009-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649888777 | Sonya Williams | Licensed Practical Nurse | 3481 Pinebrock Dr, Dallas, TX 75241 | 2020-07-15 |
| 1346700259 | Angel Vales | Counselor | 5520 Langdon Rd, Dallas, TX 75241 | 2019-03-25 |
| 1144708611 | Brandie L Mccray | Counselor | 155 Idlewheat Ln, Dallas, TX 75241 | 2018-08-06 |
| 1649792144 | Jessica Franco Skinner | Social Worker | 5520 Langdon Rd., Suite B, C/o Wilmer Hutchins Youth and Family Center, Dallas, TX 75241 | 2017-07-17 |
| 1659790756 | Michele S Gomez | Technician | 3984 Texas College Drive, Dallas, TX 75241 | 2014-04-16 |
| 1013223494 | Jennifer Peterson | Assisted Living Facility | 4160 Clark College Dr., Dallas, TX 75241 | 2010-08-24 |
| 1447561394 | Tricia Davis | Social Worker | 1568 Sax Leigh Dr, Dallas, TX 75241 | 2010-06-25 |
| 1871804989 | Sonya Williams | Case Management | 3481pinebrook Dr, Dallas, TX 75241 | 2010-06-24 |
| 1144468414 | Edwin Ng | Dentist | 1500 E Langdon Rd, Dallas, TX 75241 | 2009-01-26 |
| 1578709135 | Lynita Teresa Fisher | Registered Nurse | 1244 Serenade Lane, Dallas, TX 75241 | 2008-12-31 |
| Find all providers in zip 75241 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922608629 | Harshadbhai Vinubhai Patel | Pharmacist | 3615 Marietta Highway, Dallas, GA 30157 | 2020-10-30 |
| 1205436599 | Jessica Badders | Pharmacist | 6185 Retail Rd Ste 100, Dallas, TX 75231-7807 | 2020-10-27 |
| 1144820358 | Saad Sajid | Pharmacist | 4062 Lyndon B Johnson Fwy, Dallas, TX 75244-5701 | 2020-10-27 |
| 1417554882 | Ravindrakumar G Amipara | Pharmacist | 3201 Malcolm X Blvd, Dallas, TX 75215-2430 | 2020-10-07 |
| 1558973628 | Hisham Beshir | Pharmacist | 3802 Cedar Rprings Rd, Dallas, TX 75219-4136 | 2020-08-20 |
| 1497367858 | Devyn Giselle Pontzer | Pharmacist | 2802 N Carroll Ave Apt 3301, Dallas, TX 75204-3067 | 2020-08-18 |
| 1922619501 | Jorge Luis Gregorisch | Pharmacist | 2323 W Illinois Ave, Dallas, TX 75224-1637 | 2020-08-16 |
| 1427679059 | Kevon Jason Pierre | Pharmacist | 242 Arbor Creek Dr, Dallas, GA 30157-5536 | 2020-05-05 |
| 1700416658 | Rukayat Azeez | Pharmacist | 990 Singleton Blvd Apt 1554, Dallas, TX 75212-5276 | 2020-01-20 |
| 1205473279 | Olakunle Olabode | Pharmacist | 5675 Mountain Hollow Dr, Dallas, TX 75249-2028 | 2019-12-09 |
| 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.