PROFESSIONAL PLAZA PHARMACY INC


Address: 1005 York Dr, Suite 105, Desoto, TX 75115-2083
Phone: 9725721939

PROFESSIONAL PLAZA PHARMACY INC (NPI# 1295888394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295888394
Entity Type Organization
Organization Name PROFESSIONAL PLAZA PHARMACY INC
Practice Address 1005 York Dr
Suite 105
Desoto
TX 75115-2083
Practice Telephone 9725721939
Practice Fax Number 9725729990
Mailing Telephone 9725721939
Mailing Fax Number 9725729990
Enumeration Date 2007-01-19
Last Update Date 2008-06-17
Authorized Official Name DR. MICHAEL ADETULA (CHIEF PHARMACIST)
Authorized Official Telephone 9725721939
Authorized Official Credential RPH, PHD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 332B00000X Durable Medical Equipment & Medical Supplies 1313330001 TX Suppliers
N 335E00000X Prosthetic/Orthotic Supplier 19614 TX Suppliers
Y 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
19614 TX Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
TX 144861 05
TX NABP 4509165 01
TX 011191601 05
TX 011191602 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1316958804 Professional Plaza Pharmacy Inc Pharmacy 2065 N Robbins Dr, Layton, UT 84041-1133 2006-08-10
1396801270 Professional Plaza Pharmacy Inc Pharmacy 120 Meadowcrest St, Ste 150, Gretna, LA 70056-5255 2006-12-28

Office Location

Street Address 1005 YORK DR
SUITE 105
City DESOTO
State TX
Zip Code 75115-2083

Providers in the same location

NPI Name Taxonomy Address Enumeration
1124273800 Precious Link Homehealth Community Based Residential Treatment Facility, Mental Illness 1005 York Dr, Suite 105a, Desoto, TX 75115-2083 2008-11-24

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1316432180 Texas Home Health Group of De Soto, LLC Home Health 911 York Drive, Suite 203, De Soto, TX 75115 2018-06-25
1033606694 Dental Health Associates of Texas, PC Dentist 1001 N Beckley, Desoto, TX 75115 2018-04-19
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Taxonomy Information

Taxonomy Code 3336C0003X
Grouping Suppliers
Classification Pharmacy
Specialization Community/Retail Pharmacy

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1457817686 Ghor, LLC Pharmacy 1308 W Belt Line Rd # 108, Desoto, TX 75115-7833 2019-02-12
1699290577 Dlb Pharmacy LLC Pharmacy 1801 N Hampton, Suite 340, Desoto, TX 75115 2017-08-11
1093150120 Chetz International, Inc. Pharmacy 941 York Dr Ste 201, Desoto, TX 75115-2066 2013-05-02
1639255185 Adams Pharmacy Inc Pharmacy 309 N Hampton Rd, Desoto, TX 75115-4915 2006-10-27
1265536098 Cvs Pharmacy Inc Pharmacy 1305 W Belt Line Rd, Desoto, TX 75115-3627 2006-09-12
1255445243 Heritage Pharmacy Incorporated Pharmacy 621 N. Hampton Rd, Ste. 108, Desoto, TX 75115 2006-08-18
1710509567 Cso Pharmacy, LLC Pharmacy 1110 E Pleasant Run Rd, Desoto, TX 75115-4202 2020-05-15
1114273950 Cornerstone Pharmacy Pharmacy 2707 Bolton Boone Dr, Suite 101, Desoto, TX 75115-2076 2012-07-30
1134395882 Sma Group Incorporated Pharmacy 1110 E Pleasant Run Rd, Desoto, TX 75115 2008-05-02

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1629679717 Edith Achebodt Pharmacy 2233 Avenue J Ste 103b, Arlington, TX 76006-5884 2020-11-04
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1861091977 A Medizona Pharmacy Pharmacy 3700 Barker Cypress Rd, Suite 700, Houston, TX 77084 2020-10-20
1952900078 Nudo Pharmacy LLC Pharmacy 104 Industrial Blvd Ste 201, Sugar Land, TX 77478-3174 2020-10-20
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Competitor

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City DESOTO
Zip Code 75115

Improve Information

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Dataset Information

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.

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