DALLAS COUNTY MENTAL HEALTH & MENTAL RETARDATION CENTER (NPI# 1407243306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407243306 |
| Entity Type | Organization |
| Organization Name | DALLAS COUNTY MENTAL HEALTH & MENTAL RETARDATION CENTER |
| Other Organization Name | METROCARE PHARMACY AT LIFENET |
| Practice Address |
9708 Skillman St Dallas TX 75243-5150 |
| Mailing Address |
9708 Skillman St Dallas TX 75243 |
| Practice Telephone | 4698993200 |
| Practice Fax Number | 9724268304 |
| Mailing Telephone | 4698993200 |
| Enumeration Date | 2015-04-20 |
| Last Update Date | 2018-07-19 |
| Authorized Official Name | MORDECHAI EDERY (DIRECTOR OF PHARMACY) |
| Authorized Official Telephone | 4698993200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336M0002X |
Pharmacy Specialization: Mail Order Pharmacy |
Suppliers | ||
| Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
29932 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2151414 | 01 |
| Other Name | Type Code |
|---|---|
| Metrocare Pharmacy at Lifenet | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861866568 | Dallas County Mental Health & Mental Retardation Center | Pharmacy | 5372 Fredericksburg Rd Ste 110, San Antonio, TX 78229-3559 | 2015-11-18 |
| 1023410024 | Dallas County Mental Health & Mental Retardation Center | Pharmacy | 16160 Midway Rd Ste 200, Attn: Pharmacy, Addison, TX 75001-4202 | 2014-09-22 |
| 1093114134 | Dallas County Mental Health & Mental Retardation Center | Pharmacy | 832 S Carrier Pkwy, Attn: Pharmacy, Grand Prairie, TX 75051-0942 | 2014-08-14 |
| 1932389038 | Dallas County Mental Health & Mental Retardation Center | Pharmacy | 7304 Alma Dr, Plano, TX 75025-3563 | 2007-11-07 |
| 1023239886 | Dallas County Mental Health & Mental Retardation Center | Clinic/Center | 1345 River Bend Dr Ste 200, Dallas, TX 75247-6945 | 2007-05-01 |
| 1366539272 | Dallas County Mental Health & Mental Retardation Center | Pharmacy | 2600 N Stemmons Fwy Ste 151, Dallas, TX 75207-2111 | 2006-10-10 |
| 1821185026 | Dallas County Mental Health & Mental Retardation Center | Pharmacy | 4645 Samuell Blvd Ste 107, Dallas, TX 75228-6826 | 2006-10-07 |
| 1932594272 | Dallas County Mental Health & Mental Retardation Center | Pharmacy | 4200 Stuart St, Attn: Pharmacy Dept., Greenville, TX 75401-5759 | 2015-04-03 |
| 1912094111 | Dallas County Mental Health & Mental Retardation Center | Pharmacy | 3330 S Lancaster Rd, Dallas, TX 75216-4531 | 2006-10-07 |
| 1104910413 | Dallas County Mental Health & Mental Retardation Center | Pharmacy | 1350 N Westmoreland Rd, Dallas, TX 75211-1654 | 2006-10-03 |
| Street Address |
9708 SKILLMAN ST |
| City | DALLAS |
| State | TX |
| Zip Code | 75243-5150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275772246 | Maura Kathleen Cornell | Counselor | 9708 Skillman St, Dallas, TX 75243-5150 | 2009-02-13 |
| 1396363107 | Lesley Sara John | Nurse Practitioner | 9708 Skillman St, Dallas, TX 75243-5150 | 2020-07-08 |
| 1285174748 | Esther Kerubo Areba | Nurse Practitioner | 9708 Skillman St, Dallas, TX 75243-5150 | 2017-03-03 |
| 1437497534 | Madison Anne Dolph | Social Worker | 9708 Skillman St, Dallas, TX 75243-5150 | 2013-01-24 |
| 1154668812 | Jillian Brogdon | Counselor | 9708 Skillman St, Dallas, TX 75243-5150 | 2013-01-14 |
| 1306180054 | Lifenet | Health Maintenance Organization | 9708 Skillman St, Dallas, TX 75243-5150 | 2012-11-19 |
| 1003150038 | Lifenet | Community/Behavioral Health | 9708 Skillman St, Dallas, TX 75243-5150 | 2012-11-15 |
| 1578816971 | Rachel Deborah Guzy | Behavioral Analyst | 9708 Skillman St, Dallas, TX 75243-5150 | 2012-10-23 |
| 1023377116 | Victoria T Bryant | Behavioral Analyst | 9708 Skillman St, Dallas, TX 75243-5150 | 2012-05-09 |
| 1205195302 | Lifenet | Counselor | 9708 Skillman St, Dallas, TX 75243-5150 | 2012-05-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558970830 | Nnamdi Okorie | Licensed Vocational Nurse | [email protected], 13427 Hedgeapple Dr, Dallas, TX 75243 | 2020-07-23 |
| 1629627716 | Mohammad Mehdi Imani Emadi | Dentist | 11970 N Central Expy # 430, Dallas, TX 75243 | 2019-09-10 |
| 1295221786 | Cornerstonemd,pllc | Obstetrics & Gynecology | 12222 N Central Expy Ste 140, Dallas, TX 75243 | 2018-07-08 |
| 1033609292 | Mother Earth Healthcare Services Inc | Home Health | 9821 Summerwood Cir Apt 1701, Dallas, TX 75243 | 2018-05-14 |
| 1346742822 | Chioma Ifeji | Licensed Vocational Nurse | 13317 Daystrom Court, Dallas, TX 75243 | 2018-03-01 |
| 1598282865 | Kimberly Ann Whitney | Social Worker | 11520 N Central Expy Ste 254, Dallas, TX 75243 | 2017-08-27 |
| 1962934083 | Dignity Private Care, LLC | In Home Supportive Care | 8330 Lbj Freeway, Ste 720, Dallas, TX 75243 | 2017-03-29 |
| 1699214569 | Vitalis Home Health LLC | Home Health | 9821 Summerwood Cir Apt 1308, Dallas, TX 75243 | 2017-02-13 |
| 1881130946 | Proniles | Non-emergency Medical Transport (VAN) | 12611 Hornbeam Dr, Dallas, TX 75243 | 2017-01-13 |
| 1194273664 | Osman W Awdallah | Non-emergency Medical Transport (VAN) | 12611 Hornbeam Drive, Dallas, TX 75243 | 2016-09-14 |
| Find all providers in zip 75243 | ||||
| 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 |
| 1134366289 | Martin Luther King Jr Family Clinic | Pharmacy | 2922 Martin Luther King Jr Blvd, B, Dallas, TX 75215-2321 | 2009-01-12 |
| 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.